Overview

Using a Flexible Spending Account (FSA) is like getting a discount on everyday health and/or dependent care expenses because you’re paying with tax-free money. There are separate FSAs for health care and dependent care.

Health Care FSA

Available to team members who do NOT enroll in the $2,850 PPO HDHP with HSA

  • Contribute up to $2,750 in 2020 through pre-tax payroll deductions to help cover eligible medical, vision, and dental expenses, such as copays, deductibles, orthodontia, prescriptions, etc.
  • Choose your contribution amount when you enroll as a new team member or during Open Enrollment. You can only change your contribution amount during the year if your personal situation changes.
  • Your annual contribution will be divided into equal deductions from each paycheck. Your entire annual contribution amount is available to you on your benefits effective date.
  • Spend your money by using your FSA debit card*, or log in to the MM365+ FSA website to request reimbursement for payments you’ve made. Be sure to keep your receipts in case of the need to substantiate your purchase.
  • Up to $500 of unused money may be carried over to the next year; amounts above $500 will be forfeited, so be sure to estimate your contribution carefully! (Keep in mind that if you leave the company, you will lose any remaining balance unless you elect COBRA. If you have used more than you have contributed for the plan year at the time of your termination, you won’t have the option to elect COBRA.)

*NOTE: You’ll receive only one debit card to use for all of your Mercer Marketplace 365+ supported accounts. You can request additional cards via the MM365+ FSA website.

Dependent Care FSA

Available to all team members

  • Contribute up to $5,000 annually through pre-tax payroll deductions to help cover your eligible dependent care expenses, including child and elder care while you are at work, such as day care, nursery school, elder care, etc.
  • Log in to the MM365+ FSA website to request reimbursement for payments you’ve made.
  • Choose your contribution amount when you enroll as a new team member or during Open Enrollment. You can only change your contribution amount during the year if your personal situation changes.
  • Your annual contribution will be divided into equal deductions from each paycheck. You only have access to money that has actually been deposited into your account.
  • Unused money does not carry over at the end of each year — use it or lose it. Be sure to estimate your contribution carefully!

Keep in mind: You must actively re-enroll in FSAs each year. You are not automatically re-enrolled.

Compare FSAs

  Health Care FSA Dependent Care FSA
Available with … $1,250 PPO Plan
$1,850 PPO Plan
$1,250 PPO Plan with Hospital Choice Cost Share (in MA and NH)
$1,850 PPO Plan with Hospital Choice Cost Share (in MA and NH)
Kaiser HMOs (in CA)
(Also available if you waive medical coverage)
Any medical plan
(Also available if you waive medical coverage)
Access your entire annual contribution amount at the beginning of the plan year Yes No
Access only funds that have been deposited No Yes
Use the money for … All eligible health care expenses, such as copays, deductibles, coinsurance, prescription glasses, and orthodontia Eligible dependent care expenses, including child care for children up to age 13 and care for dependent elders
“Use it or lose it” at year-end Carry over up to $500 Yes

How to File a Claim

If you need to submit a claim for FSA-eligible purchases you made without using your FSA debit card, simply follow these easy steps. You can submit a claim online or via fax or mail.

File a claim online:
Log in to your account through the MM365+ FSA website to file your claim electronically and upload your documentation.

File a claim via fax or mail:
Complete the Out-of-Pocket Reimbursement Request Form. Follow the instructions carefully. Claim details may be entered online, and then the completed form may be printed and faxed or mailed with the necessary documentation.

Fax: 1-855-717-6571
US Mail: FSA CLAIMS ADMINISTRATOR, PO Box 6161, Fargo, ND 58108-6161

You may check the status of your claim by logging in to your account on the MM365+ FSA website.

FSA Store

The FSA Store helps you take full advantage of your tax-free FSA money. Simply shop the online store for items you might need — everything is guaranteed to be FSA-eligible or your money back — then pay using your FSA card. You’ll also receive an extra discount the first time you shop there. And, you can earn points toward future savings.

In addition to offering the largest selection of FSA-eligible items, the FSA Store offers a list of eligible items, an FSA calculator, and additional educational resources and tools.

FSA Savings Calculator

FSAs are a great way to save money on out-of-pocket medical expenses. By using pre-tax dollars, individuals can save an average of 30% on eligible medical, pharmaceutical, dental, and eye care costs! The exact amount you can save depends on your income tax rate.

Because of this significant savings opportunity, deciding to participate in an FSA is easy. But it can be harder to decide how much money to contribute. Remember: Up to $500 of unused money may be carried over to the next year; amounts above $500 will be forfeited, so it’s important to estimate your contribution carefully!

The FSA calculator can help! This handy online tool will help you estimate how much you can save in reduced income taxes with an FSA.

Be assured that the information you provide will be kept confidential and not shared with any third party.

Start estimating!
Try out the FSA calculator today.