Flexible Spending Accounts (FSAs)

Flexible spending accounts are funded by your employee with pre-tax dollars up to $3,200 annually. Funds are used to pay for certain medical and dental expenses for your employee, their spouse, and their dependents. Some qualified expenses include:

• Health insurance deductibles and co-payments (but not premiums)
• Prescription medications
• Over-the-counter medicines with a doctor’s prescription (reimbursements for insulin are allowed without a prescription)
• Medical equipment and supplies like crutches, bandages, and diagnostic devices like blood sugar test kits

Employees generally must use FSA funds within the plan year. However, employers can provide a grace period of up to 2 1/2 months to use money in a flexible spending account or allow a carryover of up to $640 into the following plan year.

Employers can – but aren’t required to – make contributions to their employee’s FSA.

Since money is taken out on a pre-tax basis, your employee’s taxable income is reduced meaning both you (as the employer) and your employee may be able to lower your tax responsibility.

An FSA can help your employees save anywhere from 30 to 40 percent on their out-of-pocket expenses.

Through our affiliate GTM Insurance Agency, setting up an FSA is easy and straightforward.

Looking for some other employee benefit ideas? Check out these options or download our Employee Benefits Overview (PDF).

Health Insurance & Benefits Options Comparison Chart

This chart will help you compare the various plans and select one that will best meet the needs of your nanny. These are contribution rates for 2024.

	FSA	HRA	HSA	QSEHRA	ICHRA	POP
Employer funded
Employer tax savings
Employee funded
Employee tax savings
Covers out-of-pocket expenses
Covers insurance premiums
Used to purchase health insurance
Contribution limits	$3,200	No limit	$4,150 single $8,300 family	$6,150 single $12,450 family	No limit	No limit
Pairings	N/A	Group plan	High-deductible plan	Individual plans	N/A	Group plan
Coverage restrictions	None	Must cover at least two employees	None	None	None	None