Flexible Spending Accounts/Arrangements (FSA) may be offered to employees to be used to pay for out-of-pocket health care expenses.

  • If enrolled in a High Deductible Health Plan, the employee is only eligible for a Limited Purpose FSA (reimburses for eligible vision and dental expenses only).


Notes:

  • Both the traditional and the limited purpose FSA are considered as an FSA plan type.
  • FSA plan eligibility is typically determined based on the employee's medical enrollment.  
    • If the employee enrolls in a High Deductible Health Plan, they can only enroll in a limited purpose FSA.  
    • If they are enrolled in a different medical plan (HMO, PPO, etc), or they decline medical, they can enroll in a traditional FSA plan.



 To establish both within a single company benefit program:


1.    Build two plans and name them accordingly.



2.    In Eligibility, place a Contingency (TYPE and PLANS) on the FSA plans, aligning them with the appropriate medical plans.

  • For the limited purpose FSA, set the Contingency to Enrolled and choose all of the High Deductible Health Plans.   
  • For the traditional FSA, set the Contingency to Not Enrolled and choose all of the same High Deductible Health Plans.  
    • This makes the traditional FSA available for any other medical plans. 




For more information about eligibility and contingencies, see Configuring Plans > Eligibility.