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FSA Elections and Eligible Expense History

To help determine future FSA elections, consider your FSA history. Please take into account any major expenses that may or may not occur in the future, as well as other eligible expenses such as glasses, contact lenses, etc.

FSA Elections


  Election Rollover Submissions
Medical & Dental
Elections 		$0.00 $0.00
Dependent Care
Elections 		$0.00 $0.00
  Election Rollover Submissions
Medical & Dental
Elections 		$0.00 $0.00
Dependent Care
Elections 		$0.00 $0.00


FSA Eligible Expenses *


Amount Year to Date:
Amount:
* These amounts represent medical and dental claims processed for the year that have deductibles, coinsurance, copayments, and other expenses eligible for web submission. In addition, you may incur other FSA eligible expenses including eye glasses, orthodontia, etc.