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Medical Flexible Spending & Dependent Care

Need funds in Flex or Dependent Care?

Enroll online, even if you want the same amount as last year

Click here for Step by Step Flex Enrollment Guide


Max out your contributions + Think Healthy flex dollars
Subtract Think Healthy flex dollars from your total
i.e., $3,200 - $150 = $3,050
PBA will add the flex dollars

Reminder: If your spouse has a flexible spending account, both can defer up to the maximum amount for Medical Only

Flex Usage

Need help? Come see us!

Digital meetings available too!


HR Department

Amber Campbell

847-810-3532 (email)

Brina Diaz

847-810-3530 (email)

Zenaida Cabrera

847-810-3531 (email)

Eligible/Ineligible Items PDF

This form details many items that are eligible to be taken from the FSA and contains a worksheet to help determine how much to withhold.

FSA Feds Searchable Eligible Expenses lets you search FSA eligibility and lists if items need additional documentation to be eligible. Click here for link directly to FSA eligible expenses search.

Additional Resource: is an online marketplace for FSA-eligible products.

PBA Flex Medical Necessity Form

Certain items may be considered eligible expenses if deemed Medically Necessary by a prescribing physician. Have your provider completed this form. 

Flex Reimbursement

PBA Flex Claim Reimbursement Form

Complete this form to submit claims for unreimbursed medical/dental and dependent care expenses from your flexible spending account.

PBA Flex Dependent Care Reimbursement Form 

You can also submit claims online at or on the PBA Flex App. This is the recommended and fastest way to submit claims for reimbursement.

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