Overview & Updates
Flexible Spending Accounts
Flexible Spending Account (FSA) annual contributions for 2023:
- Health Care Expense Account: $2,850
- Dependent Care FSA: $5,000
- Adoption FSA: $14,890
- Parking Account: $280 (per month)
Please note: if you currently participate in an FSA and your debit card is expiring at the end of 2022, you will receive a new card in the mail from P&A Group.
Participant Information
Hennepin County COVID-19 Updates
pdf
(53.0kB)
Health Care Expense Account/Dependent Care Account 2023
pdf
(255.1kB)
What is an FSA?
pdf
(266.8kB)
Account Options
pdf
(147.3kB)
Sample List of FSA Eligible Expenses
pdf
(152.2kB)
Tax Savings Example
pdf
(43.1kB)
FSA Store
pdf
(301.0kB)
IRS Publication 969
pdf
(1.4MB)
Parking/Vanpooling 2023
pdf
(269.9kB)
Eligible Dependent Defined
pdf
(49.9kB)
Claims & Reimbursements
pdf
(34.5kB)
Submit Claims
pdf
(158.2kB)
Mobile App
pdf
(331.9kB)
FSA Glossary
pdf
(123.5kB)
Not sure how much to contribute to your account? Our FSA calculator can help you figure it out.
Browse pre-approved eligible expenses at FSA Store.
Forms
FSA Worksheet
pdf
(53.4kB)
Letter of Medical Necessity Form
pdf
(53.8kB)
HIPAA Authorization Form
pdf
(52.4kB)
FSA Mid-Year Change/Enrollment Form
pdf
(1.3MB)
Parking/Vanpooling Mid-Year Change/Enrollment Form
pdf
(1.9MB)
Parking/Vanpooling Claim Form
pdf
(202.9kB)
Health Care Expense/Dependent Care Claim Form
pdf
(237.1kB)
Participant Information
Hennepin County COVID-19 Updates
pdf
(53.0kB)
Health Care Expense Account/Dependent Care Account 2023
pdf
(255.1kB)
What is an FSA?
pdf
(266.8kB)
Account Options
pdf
(147.3kB)
Sample List of FSA Eligible Expenses
pdf
(152.2kB)
Tax Savings Example
pdf
(43.1kB)
FSA Store
pdf
(301.0kB)
IRS Publication 969
pdf
(1.4MB)
Parking/Vanpooling 2023
pdf
(269.9kB)
Eligible Dependent Defined
pdf
(49.9kB)
Claims & Reimbursements
pdf
(34.5kB)
Submit Claims
pdf
(158.2kB)
Mobile App
pdf
(331.9kB)
FSA Glossary
pdf
(123.5kB)
Not sure how much to contribute to your account? Our FSA calculator can help you figure it out.
Browse pre-approved eligible expenses at FSA Store.
Forms
FSA Worksheet
pdf
(53.4kB)
Letter of Medical Necessity Form
pdf
(53.8kB)
HIPAA Authorization Form
pdf
(52.4kB)
FSA Mid-Year Change/Enrollment Form
pdf
(1.3MB)
Parking/Vanpooling Mid-Year Change/Enrollment Form
pdf
(1.9MB)
Parking/Vanpooling Claim Form
pdf
(202.9kB)
Health Care Expense/Dependent Care Claim Form
pdf
(237.1kB)