TAX-ADVANTAGED SPENDING ACCOUNTS

Tax-Advantaged Spending Accounts allow you to set aside pre-tax dollars from your paycheck to reimburse yourself for eligible expenses.

The City offers the following accounts for tax savings on eligible expenses:

  • A Healthcare Flexible Spending Account (HCFSA) allows you to reimburse yourself for eligible health care expenses for you and your eligible dependents. For 2024, you can set aside $3,050.

  • A Dependent Care Reimbursement Account (DCRA) allows you to reimburse yourself for day care expenses for your eligible dependents. For 2024, you can set aside $5,000.

  • HCFSAs and DCRAs must follow strict Internal Revenue Code rules. It’s important to estimate your annual expenses carefully and know the important deadlines.

If you want to participate in these accounts,
YOU MUST ACTIVELY RE-ENROLL EACH YEAR DURING OPEN ENROLLMENT!


Benefit Details

When You Can Enroll

You can enroll in the Healthcare Flexible Spending Account and the Dependent Care Reimbursement Account during Open Enrollment. You can only make a change to your account or enroll during the year if you have a qualifying life event. If you want to continue to participate, you must re-enroll each year during Open Enrollment.

 
Administrative Fee: If you choose to contribute to one of these accounts, a per pay period administrative fee of $1.50 will automatically be deducted from your paycheck each pay period. Only one administrative fee applies if you contribute to more than one account.
 

Eligible Health Plan Tax Dependent

Internal Revenue Service (IRS) rules determine who is an eligible dependent. Under federal tax law, “health plan tax dependent” includes your children (biological, adopted, step and foster) through the end of the year in which they turn age 26. It also includes other covered individuals for whom you can claim an exemption on your federal taxes. In addition, it includes family members – or an unrelated person who lives with you for the entire year – if they receive more than half of their support from you; are a U.S. citizen, resident or national, or a citizen of Mexico or Canada; and are not claimed as a “qualifying child” dependent on anyone else’s tax return. These rules are complex and may require the assistance of your tax advisor.

Estimate Expenses Carefully

It is important to estimate HCFSA expenses carefully and set aside only the amount you think you will need while you are contributing to the account during each plan year. The elections you make for the HCFSA or DCRA are valid for the 12-month plan year. Changes are NOT permitted outside of a qualifying life event as approved by LAwell. This is an Internal Revenue Code rule and the LAwell program cannot make exceptions.

Important Deadlines and Restrictions

HCFSAs and DCRAs are not savings accounts. You can use the money you set aside only for eligible expenses you have during the plan year while you are contributing to the account. If you have unused contributions at the end of the plan year, those contributions will not carry forward and will be forfeited.

For 2024

  • The funds you deposit for 2024 must be used by the end of the grace period
    (March 15, 2025), or you will forfeit any unclaimed balance.

  • You must file claims for 2024 expenses by April 30, 2025.

For 2023

  • The funds you deposit for 2023 must be used by the end of the grace period
    (March 15, 2024), or you will forfeit any unclaimed balance.

  • You must file claims for 2023 expenses by April 30, 2024.

If you do not file claims by the deadline, you forfeit any money left in your account. This is an Internal Revenue Code (IRC) rule and LAwell cannot make exceptions. You may be able to make a limited change if you have a qualifying life event. For the DCRA, certain changes to your day care provider or the cost of care may also qualify as an eligible change event, subject to approval of LAwell.

FSA Situation 2023 HCFSA or DCRA 2024 HCFSA or DCRA
Electing a new account. A new account can only be elected during Open Enrollment
(October 2 – November 1, 2022)
or within 30 days of a qualifying life event.
A new account can only be elected during Open Enrollment
(October 1 - 31 , 2023)
or within 30 days of a qualifying life event.
Dates to incur qualified expenses for an HCFSA or DCRA. January 1, 2023 to
March 15, 2024
January 1, 2024 to
March 15, 2025
Deadline to submit reimbursement claims for qualified expenses April 30, 2024 April 30, 2025

Filing Claims

Generally, you pay eligible healthcare and dependent care expenses out of your pocket first, then file a claim with documentation of your expenses in order to be reimbursed from your account.

Account Reimbursement
HCFSA You may be reimbursed the full amount of your claim (including tax) when you file a claim for an eligible expense, up to the amount you have chosen to put in your account. This applies even if your account does not have enough in it to cover the expenses. However, you will be reimbursed only for an eligible expenses while you are contributing to the account.
DCRA You may be reimbursed for your claim up to the amount you in your account at the time of the claim. Any unpaid claims will remain in "pending" status and will be reimbursed as you make additional contributions to your account through payroll deductions
 

As long as you file claims regularly, you can receive reimbursement promptly. Generally, you receive a reimbursement check within two weeks for a paper claim or one to two days for an online claim. For claim forms, go to wageworks.com. You can also submit claims and upload receipts online, and pay your provider directly for some services, using the “WageWorks EZ Receipts” mobile application. Download the free mobile app in the iTunes Store or Google Play.

If Your Employment Ends

If you leave your employment with the City mid-year – including transfers to the Department of Water and Power (DWP) – you can file HCFSA claims and receive reimbursement only for expenses you have up to the date your LAwell benefits end, and you will forfeit any additional amount left in your account. For more information on when benefits end, refer to the Life Events section. You may be able to continue a HFSA and/or the DCRA under COBRA if your employment ends, with some limitations. Employees who terminate employment, retire, or transfer to DWP and then subsequently return to the City within the same calendar year may have their account re-established based on their prior elections, subject to review and approval by LAwell and subject to applicable Internal Revenue Code rules.


Healthcare Flexible Spending Account (HCFSA)

Use the HCFSA to pay for eligible healthcare expenses that are not covered by any medical, dental, or vision coverage. Generally, eligible healthcare expenses may be claimed only for expenses incurred during the period when you are enrolled in a City-sponsored medical plan. You may use an HCFSA for healthcare expenses of:
• Your spouse and any child you claim as a dependent on your tax return.
• Anyone who is your “health plan tax dependent” as defined by the IRS.

Visit healthequity.com/fsa-qme to view a searchable list of HCFSA eligible expenses

Examples of Eligible and Ineligible Expenses

The Healthcare Flexible Spending Account CAN be used to pay for:

  • Acupuncture

  • Chiropractic services

  • Crutches and wheel chairs

  • Eye exams, eyeglasses

  • Laser eye surgery

  • Hearing aids

  • Lamaze classes

  • Mental health and substance abuse treatment

  • Orthodontia

  • Copayments, coinsurance, and deductibles you pay out of your pocket for medical, prescription drug, dental, and vision care

  • Over-the-counter medications with a doctor’s prescription and insulin

The Healthcare Flexible Spending Account CANNOT be used to pay for:

  • Cosmetic surgery or procedures, including teeth whitening or bleaching

  • Your bi-weekly premium contributions for health and dental insurance

  • Procedures or expenses not medically necessary

  • Weight loss programs not prescribed by a doctor

  • Exercise equipment and health club dues not prescribed by a doctor

  • Nutritional supplements not prescribed by a doctor, such as vitamins taken for general health

  • Most over-the-counter medications and products without a prescription, such as cosmetics, soaps, and toiletries

HCFSA and Healthcare Savings Accounts (HSA)

LAwell does not offer a high deductible health plan and the HCFSA offered through the LAwell program is not established as a HSA-compatible option. If you are enrolled in a high-deductible health plan with your spouse/domestic partner, former employer, or other organization you should consult with your tax advisor before enrolling into LAwell’s HCFSA. Enrolling in an FSA is considered an irrevocable election; see “Important Deadlines and Restrictions” section above for more information.

Estimating Expenses and Tax Savings

To estimate your annual expenses and the tax savings of setting up a HCFSA, log into your Benefits Central Portal account. As part of the enrollment process, you’ll find links to a calculator for each account.

Debit Card

You will automatically receive a debit card to use for eligible healthcare expenses at any provider or retailer that accepts debit cards. The debit card is an additional convenience option and is not intended to replace the traditional claim process. Some eligible healthcare expenses may not be available through the debit card and will only be eligible through filing a traditional claim. There is no debit card option for the Dependent Care Reimbursement Account.


Dependent Care Reimbursement Account (DCRA)

 You can use a DCRA for day care expenses you have for your eligible dependents while you and your spouse work or go to school full-time. Your eligible dependents are:

  • Children under age 13 you claim as dependents on your tax return.

  • Anyone age 13 or older who meets the IRS definition of “health plan tax dependent,” lives with you more than half the year, and is physically or mentally unable to care for themselves. This may include an elderly parent or disabled dependent.

Generally, dependent day care expenses may be claimed only on days you work. There are exceptions. For a short absence, such as a minor illness or vacation, day care expenses may be claimed if those expenses are paid on a weekly or longer basis. In addition, if you work part-time, expenses may be claimed if you are required to pay a fixed rate – such as a full weekly rate – rather than paying for only the time you are working.

To be reimbursed, day care must be provided by a person for whom you can provide a Social Security Number or day care facility with a Taxpayer Identification Number. Day care provided by any sitter who you or your spouse claims as a dependent on your tax return cannot be reimbursed through your account. This includes day care services provided by your children or stepchildren under age 19. In addition, day care provided by your spouse or former spouse is not eligible for reimbursement.

How Much You Can Set Aside

Generally, you can set aside from $600 up to $5,000 (maximum amounts subject to federal law revision) annually. Your contributions come out of your check each pay period. The total amount you can set aside may change depending on your tax filing status and whether your spouse’s employer offers a similar DCRA. If you and your spouse both work, your maximum contribution cannot be more than the income of the lower-paid individual – you or your spouse – and cannot exceed $5,000.

Dependent Care Reimbursement Account & Taxes

As you consider a DCRA, think about what works best for you – the reimbursement account or the dependent care tax credit provided by federal law. It is important to keep in mind that you cannot take the tax credit for any amounts that are reimbursed through a reimbursement account. In some cases, the tax credit may provide more savings than a reimbursement account. Generally, you will save more on federal taxes using a DCRA in these situations:

• You are eligible for the Earned Income Tax Credit. You are eligible for the credit if you have less than $10,000 in investment income and your income (or the income of you and your spouse, if you are married filing jointly) is less than the amount set forth for 2024, depending on your number of children.

• You are single, you file your taxes as head of household, and your household taxable income is approximately $42,000 or more (assuming one dependent).

• You are married, you file a joint return, and your household taxable income is approximately $48,000 or more (assuming one dependent).

Dollar amounts are based on federal tax law applicable for when you are filing taxes in 2024 for the 2023 tax year. These are just guidelines and do not take into account state taxes. If you have questions about tax savings, please consult a tax advisor.