A Flexible Spending Account (FSA) is a tax-free account that helps you pay for essential expenses using pre-tax dollars, reducing your out-of-pocket costs. There are two types: a Health Care FSA, which can cover eligible medical, dental and vision expenses not fully covered by insurance, and a Dependent Care FSA, which can help pay for eligible child or dependent day care expenses. By contributing a portion of your paycheck on a pre-tax basis, you save on costs you’re already incurring. Your personal savings will vary based on your tax rate.

Eligibility & Rules

Health Care FSA 

You may enroll in a Health Care FSA if you are a benefit-eligible faculty or staff member enrolled in a medical plan other than the Healthy Savings Plan, or if you are a faculty or staff member who is benefit-eligible but not enrolled in any university medical plan. 

Faculty or staff members enrolled in the Healthy Savings Plan are not eligible for a Health Care FSA (since they have access to a Health Savings Account). 

Retirees are not eligible for a Health Care FSA. 

Dependent Care FSA 

Any benefit-eligible faculty or staff member—regardless of the medical plan they are enrolled in—may use a Dependent Care FSA for child/day care expenses.  

You must enroll in a Dependent Care FSA separately from a Health Care FSA.  

Retirees are not eligible for a Dependent Care FSA. 

If you previously enrolled in an HSA and are now enrolling in an FSA - Once money is deposited in your HSA, it is yours to keep forever. Even if you are no longer eligible to contribute to your HSA, you can still use the funds that are in it. Individuals who are enrolled in a Health Care FSA may not contribute to an HSA, but they can use funds from an HSA that they had in years prior to enrolling in an FSA. Unlike the HSA, your FSA funds must be used during the plan year, or you forfeit those contributions. 

If you were enrolled in an FSA in one calendar year (let's call it Year One) and will be enrolled in an HSA in the next calendar year (Year Two), you will need to take special action. 

In order to make or receive HSA contributions at the beginning of Year Two, your previously held Health Care FSA account must have a zero balance before the end of Year One. Therefore, it is recommended that you submit claims for eligible healthcare expenses by December 24 to assure those claims will be processed before the end of Year One. 

The Internal Revenue Service (IRS) requires FSA plans to pass annual nondiscrimination testing to be able to offer pre-tax contribution options. This testing helps ensure the plan complies with federal tax law and does not favor highly-compensated employees.

As part of the testing process, the university reviews FSA participation and contributions each year. In some cases, the university may need to adjust the FSA election if an employee is classified as a “highly compensated employee” under IRS rules (Internal Revenue Code Section 125) to meet the testing requirements. The adjustment would increase the employee’s regular taxable pay.

Employees who meet this pay threshold to receive an election adjustment mid-year will receive notification from the HR Service Center about the change.

Please see the Flexible Benefits Summary Plan Description for more details.

Contributions & Limits

When you enroll in an FSA, you decide how much to contribute to the account for the entire plan year. Your election is binding throughout the plan year, so it is important to carefully plan your contributions and expenses. 

The money is deducted from your paycheck pre-tax (before federal and state income taxes and FICA taxes are deducted) in equal amounts over the course of the plan year. 

If you do not use all your contributions within the plan year (including the Grace Period for the Health Care FSA, see below), you forfeit any money left in your account.  

The university Health Care and Dependent Care FSA accounts have a 2.5-month Grace Period (through March 15 of the following year), which allows you extra time to incur expenses to use your flexible spending account balance(s) after the close of the plan year. 

Health Care FSA 

Each employee/individual can set aside up to: 

  • $3,300 per year for the 2026 plan year. 
  • $3,400 per year for the 2027 plan year. 

Your full annual election is available to you on your first day of coverage, which means that when you incur eligible expenses, you can submit reimbursement requests immediately even though the money you set aside is deducted from each paycheck, little by little over the course of the year. 


Dependent Care FSA 

Each employee/individual can set aside up to: 

  • $7,500 per year ($3,750 if married and filing separately on your federal income taxes) for the 2026 and 2027 plan years. 

Your contributions to the Dependent Care FSA are deducted before federal and state income taxes and FICA are assessed, and reimbursements are completely tax free. 

Beginning with the 2027 plan year, benefit-eligible MU Health Care employees with an annual salary under $160,000 are eligible to receive an employer match of up to $1,500 per year to their Dependent Care FSA. Eligible MU Health Care employees must enroll in the Dependent Care FSA and make contributions to the account to qualify for the employer match. Eligible employer matching contributions are applied automatically.

Please note that the employer match also counts toward the annual IRS contribution limits and changes to an employee's salary may result in the employer match being adjusted mid-year.

Using Your FSA

Health Care FSA 

Use your FSA to reimburse health care expenses for you, your spouse or any tax dependent, even if your dependents are not enrolled in your university medical, dental or vision plans. You may elect to use an ASIFlex debit card when making purchases with your Health Care FSA, providing flexibility and convenience in how and where you shop for health care-related goods and services by giving you the ability to use your FSA dollars. 

Dependent Care FSA 

Eligible expenses include day care, babysitting, general-purpose day camps and pre-K expenses. Please note that you will be required to include your provider’s tax identification number or social security number with your reimbursement request. 

Ineligible expenses include overnight camps; care provided by your tax dependent, your spouse, or your child who is under the age of 19; and care provided while you are not at work. 

When you enroll in an FSA, you decide how much to contribute to the account for the entire plan year. Your election is binding throughout the plan year, so it is important to carefully plan your contributions and expenses. 

If you have a qualifying family status change event (such as marriage or a new baby) outside Annual Enrollment, you have the opportunity to enroll in a Health Care and/or Dependent Care FSA, or adjust your contributions, consistent with the family status change. 

Your mid-year enrollment or change in the Health Care FSA or Dependent Care FSA election must be submitted within 31 day of your qualifying event, and will become effective on the first day of the month coinciding with or following the date of your change in status event, or the date on which you provide notice of the event, whichever is later.  

After you incur expenses that qualify for reimbursement, you submit claims (reimbursement requests) to ASIFlex, the University's FSA administrator, to request tax-free withdrawals to reimburse yourself for these expenses. You may also use an ASIFlex debit card to pay for your Health Care FSA expenses.