What Kind of Dependent Care FSA Expenses are Eligible? Who is eligible for the dependent care account?
Receipt for Child Care Services For the Time Period: / / through / / For the Amount of $ Paid by: Received by: Date: / / What Do I Need to Submit in Order to Get Reimbursement? You will need an Itemized Receipt from the day care provider. The receipt must reference the from/through date of service and be signed by the provider (or on the provider’s letterhead). You can prepare your own receipts for your day care provider to complete using the sample below: Generally, your contributions may not exceed the lesser of: 1 $7,500 (if you are married filing a joint return or you are head of a household) or $3,750 (if you are married filing separate returns); 2 your taxable income; or 3 your spouse’s income (for calculation purposes, a spouse who is a full-time student or incapable of caring for himself/herself is consid- ered to have a monthly income of $250 for one dependent or $500 for two or more dependents). How Do I Submit Claims? In order to receive reimbursement from your account, please collect the proper documentation and submit your claim via one of the options below. Ways to File a Claim 1 Via your online account at https://Flexadministrators.lh1ondemand.com. FREE App
If you are married, you can use the account if you and your spouse work, or in some situations, if your spouse goes to school. You can also use the account if your spouse is disabled and unable to care for the children. Single parents can also use the account.
Which dependents are eligible? An eligible person is defined as an individual who qualifies as a dependent for income tax purposes and is: • Under the age of 13, or physically or mentally unable to care for himself or herself; or • Your spouse, or other dependent (child and/or parent) who is physically or mentally unable to care for himself or herself. If the care is provided outside your home, the expenses can be reimbursed only if the eligible person regularly spends at least 8 hours a day in your home. What Expenses Are Eligible for Reimbursement? The following types of care are reimbursable from a Dependent Care Spending Account: • Care provided inside or outside your home by anyone other than: your spouse, a person you list as your dependent for income tax purposes, or one of your children under age 19. • Cost of care for school-age children through age 12. This includes nursery school expenses, even if the school also furnishes lunch and educational services. Educational expenses for a child in kinder- garten or higher are not considered expenses for care. If dependent is in kindergarten or higher, the cost of schooling must be separated from the cost of care. • A dependent care center or child care center (if the center cares for more than six children, it must comply with applicable state & local regulations). NOTE: If you participate in the Dependent Care Spending Account, the IRS will require you to report the Social Security number or Taxpayer Identification number of your provider on your federal income tax return by completing Form 2441. • A housekeeper, au pair, or nanny whose services include, in part, providing care for a qualifying dependent. • Day care costs while in day camps • Before/after school care • Preschool or nursery school • FICA and FUTA taxes
2 Via “Flex Administrators Mobile”, our mobile app available for your phone or tablet, available at the App Store, or Google Play. Mobile App login is the same as website login. 3 E-mail your Claim to: claims@flexadministrators.com* 4 Submit via Fax at 616-454-6090* 5 Submit via Mail at*: Flex Administrators, Inc. 3980 Chicago Drive, Suite 230 Grandville, MI 49418 *If you choose to file your claim via email, fax or mail, please use a Request for Reimbursement Form.
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Also, please note we cannot accept Word (.doc, .docx), Excel (.xls, .xlsx), TIF (.tif) or Photoshop PSD (.psd) file types as attachments for claims submissions. In order to ensure claim receipt, please submit attachments as either an Image (.jpg) or Adobe Acrobat (.pdf) file type. If you submit a claim by email you will receive an email response verifying that your claim was received. CLAIM PROCESSING TIME PERIOD: 2 Business Days from time claim is received. (This includes processing documentation requested for Flex Administrators VISA Card Transactions.)
The Internal Revenue Service places limits on the amount of money that can be paid to you in a calendar year from your Dependent Care Spending Account. How Much Can I Contribute to the Dependent Care Spending Account?
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