Flexible Spending Accounts
Provider: MyChoice Accounts/Businessolver
MyChoice Accounts
MSC 345475
P.O. Box 105168
Atlanta, GA 30348-5168
Customer Service Number: (844) 782-3231
Fax Number: (855) 883-8542
Email: claims@mychoiceaccounts.com
Website: www.benefitsolver.com
Flexible Spending Accounts (FSA) allow you to set aside money on a pre-tax basis for healthcare and dependent care expenses.
There are two types of Flexible Spending Accounts available to you:
Health Care Flexible Spending Account is used to pay for eligible out-of-pocket health care expenses that are not covered by your medical, dental or vision plan. Common expenses include copays, deductibles, orthodontics, hearing aids, laser eye surgery, eyeglasses, infertility treatment, medical equipment, and over-the-counter medications.
Important: Funds must be used within the plan year. You may roll over a balance of up to $680 from your Health Care FSA to the next plan year. For important dates and deadlines to incur eligible expenses, use funds, and submit claims, contact your provider or your benefits department
| Health Care FSA Benefit | |
|---|---|
| Annual Maximum Election | $3,300 |
Dependent Care Flexible Spending Account is used to pay for eligible child care (for children age 12 and under) and elder care costs. Common expenses include before and after school care, summer camp, nannies, and babysitters. The expense must be directly tied to your need to work and therefore pay others to help care for your dependents.
Dependent care benefits elected offset the federal tax credit on your federal tax return.
Important: All funds must be used within the plan year. Unused funds will be forfeited. For important dates and deadlines to incur eligible expenses, use funds, and submit claims, contact your provider or your benefits department.
| Dependent Care FSA Benefit | |
|---|---|
| Annual Maximum Election | $7,500* |
*Annual elections are subject to nondiscrimination testing. Results may require a reduction in the annual elections for highly compensated employees (HCEs) in order to comply with IRS requirements.

