FLEXIBLE SPENDING

ACCOUNTS

FSA’s

 

TAX TREATMENT OF CONTRIBUTIONS

 

Pre-tax contributions are not subject to tax under IRC § 125.  Reimbursements o

f medical care and expenses of an employee and the employee’s spouse and dependents are generally excludable from the employee’s gross income under IRC §§ 105 and 106.  Prop. Treas. Reg. § 1.125, Q & A 7.

 

CATCH UP CONTRIBUTIONS

 

Not Applicable.

 

COORDINATION OF CONTRIBUTION LIMITS WITH RESPECT TO OTHER ACCOUNTS OR ARRANGEMENTS

 

None.

 

NON-DISCRIMINATION RULES

 

An FSA is subject to the nondiscrimination rules under the IRC § 125 cafeteria plan

provisions and also under IRC § 105(h) for self-insured arrangements.

 

The nondiscrimination rules of IRC § 105(h) prohibit discrimination in favor of highly compensated employees with respect to eligibility to participate and benefits.

 

PERMISSIBLE ACCOUNT BENEFITS

 

Reimbursement of qualified medical expenses (as defined in  213(d) of the IRC) (including OTC drugs) pertaining to the account holder, spouse, or any qualifying dependents.  Qualified medical expenses do not include expenses pertaining to (1) health insurance premiums; and (2) long-term care services.  IRC § 106(c).

 

An FSA may not permit the participant to cash out credits or use credits for other benefits.

 

COORDINATION WITH OTHER ACCOUNTS OR ARRANGEMENTS

 

An FSA may be coordinated with an HRA, subject to certain rules, e.g., mutually exclusive coverage, layering of coverage (FSA first).

 

If coverage is provided under both an HRA and an FSA for the same medical care expense, amounts available under an HRA must be exhausted before reimbursements may be made from the FSA.  Notice 2002-45, Sec. V, 2002-28 IRB 93.

Click to go Back to Flexible Spending Accounts