Flexible Spending Accounts | Sparrow Health System Benefits

MNA Home Care Represented Caregivers

Flexible Spending Accounts Benefits Overview

Benefit	Plan Description	Key Features	What’s New This Year?
Flexible Spending Accounts FSA Enrollment Form	Includes Health Care Spending Account and Dependent Care Spending Account that allow you to put aside pretax dollars to spend on eligible medical and child care expenses. Health Care Flexible Spending Account works with the Sparrow Health MNA PPO and BCBS health plans.	Flexible Spending Account elections must be made annually at open enrollment. Health Care Spending Account can be used for medical deductibles, copays, eyeglasses/contacts, and dental expenses. You can elect to contribute up to $2,750 in 2022. Dependent Care Spending Account can be used for dependent care expenses that enable you and your spouse to work. You can elect to contribute up to $5,000 in 2022. IRS rules require that money left unused in the Healthcare Spending Account is forfeited on March 15 following the plan year and Dependent Care Spending Account is forfeited on December 31 of the plan year.	No Changes

Benefit

Plan Description

Key Features

What’s New This Year?

Flexible Spending Accounts

Includes Health Care Spending Account and Dependent Care Spending Account that allow you to put aside pretax dollars to spend on eligible medical and child care expenses.

Health Care Flexible Spending Account works with the Sparrow Health MNA PPO and BCBS health plans.

Flexible Spending Account elections must be made annually at open enrollment.

Health Care Spending Account can be used for medical deductibles, copays, eyeglasses/contacts, and dental expenses. You can elect to contribute up to $2,750 in 2022.

Dependent Care Spending Account can be used for dependent care expenses that enable you and your spouse to work. You can elect to contribute up to $5,000 in 2022.

IRS rules require that money left unused in the Healthcare Spending Account is forfeited on March 15 following the plan year and Dependent Care Spending Account is forfeited on December 31 of the plan year.

No Changes

For Information Call:

Total Rewards Hotline

517-364-5333

[email protected]

This is a summary of the benefits provided by each insurance carrier and it is not intended to fully describe the details of each benefit plan. Should any questions arise, the contracts in effect will take precedence.