Flexible Spending Accounts (FSAs)

FSAs allow you to set aside pre-tax dollars to pay for eligible health and dependent care expenses. Each year, you must elect the annual amount you want to contribute to one or both accounts. Your contributions will be deducted pre-tax from your paycheck which can help reduce your taxable income. For help or information, contact Lively at support@livelyme.com or call (888) 576-4837.

Health Care FSA

The Health Care FSA will reimburse you for eligible health care, dental, or vision expenses that you, your spouse, and your children incur during the plan year. When you incur an eligible expense, you can use your FSA debit card and/or submit documentation for reimbursement.

Note: If you are enrolled in the HDHP with HSA, you are not eligible to participate in the Health Care FSA.

2026 Annual Contribution Maximum: $3,400

Limited Purpose FSA

The Limited Purpose FSA works in combination with a Health Savings Account (HSA) to help you save money to pay for eligible dental and vision expenses only. You must be enrolled in the HDHP medical plan to be eligible for a Limited Purpose FSA.

2026 Annual Contribution Maximum: $3,400

Dependent Care FSA

The Dependent Care FSA lets you use pre-tax dollars to pay eligible daycare expenses for children age 12 and under, or elder dependents who are unable to care for themselves. Care can be provided through live-in care, babysitters, or licensed daycare centers.

2026 Annual Contribution Maximum: $7,500

Rules to Keep in Mind

FSAs offer significant tax advantages, but are subject to IRS regulations:

• All expenses for the Health Care and Dependent Care FSAs must be incurred during the plan year: January 1 through December 31.
• The IRS has a strict ‘Use-It or Lose-It’ rule for FSAs. At the end of 2026, you may roll over up to $680 of unused Health Care FSA funds for 2027. Any remaining funds above these amounts will be forfeited.
• Once you enroll in the FSA, you can only change your contribution amount if you experience a qualified life event.
• Each account functions separately. You cannot transfer funds from one FSA to another.

See the Benefits Guide or benefit summaries for detailed information.