Flexible Spending Accounts

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PCOC offers two types of flexible spending account (FSA) plans, a health care FSA and a dependent care FSA. The FSA plans are administered by Paylocity.

  • If you enroll for coverage within your initial eligibility period, your coverage will be effective on the first of the month coinciding with or next following 30 days of full-time employment.
  • If you do not enroll for coverage within your initial eligibility period, you may enroll for coverage during the next annual open enrollment period or within 31 days of a qualifying event (as outlined in Making Changes During the Year).

Health Care FSA

The health care FSA allows you to make pretax contributions from your pay to an account designated to reimburse you for eligible health care expenses. Examples of eligible health care expenses are:

  • Out-of-pocket medical, dental and vision expenses such as deductibles and copays.
  • Medical, dental and vision charges in excess of reasonable and customary limits.
  • Certain medical, dental and vision expenses not covered by a health plan, such as over-the-counter medications.

To view a detailed list of eligible expenses, visit docs.paylocity.com/Benefits/docs/PDF/mFSA_ Eligible_Expenses.pdf.

Your contributions are deducted from your pay before federal income taxes, Social Security taxes, and in most states, before state income taxes are withheld. As soon as participation begins, you can be reimbursed for eligible expenses up to your annual contribution amount (minus any reimbursements you have already received) regardless of the current balance in your account.

The health care FSA is for eligible health care expenses for you and all the dependents you claim on your federal tax return, not just your dependents covered under a PCOC health plan. Also, you may use your health care FSA dollars toward eligible expenses for adult children through the end of the year in which they attain age 26 as long as you remain enrolled in the plan.

For more information, visit docs.paylocity.com/Benefits/Videos/MFSA/story_html5.html.

You may contribute from $500 up to $3,200 in 2024.

Health Care FSA Card

When you enroll in the health care FSA, you get a preloaded debit card with your enrollment information. You can use your debit card for eligible expenses just like a credit card.

Dependent Care FSA

The dependent care FSA allows you to make pretax contributions from your pay to an account designated to reimburse you for eligible dependent care expenses, such as child day care, adult dependent care, dependent care centers and preschool expenses.

To view a detailed list of eligible expenses, visit docs.paylocity.com/Benefits/docs/PDF/Dependent_Care_FSA.pdf.

Your contributions are deducted from your pay before federal income taxes, Social Security taxes and in most states, before state income taxes are withheld. You can be reimbursed for eligible expenses only up to the amount available in your account at the time of the claim. The remainder will be reimbursed after you make additional contributions.

The dependent care FSA is for dependent care (whether child care for dependents under age 13 or elder care) that allows you and your spouse to work. If your spouse doesn’t work, your dependent care expenses will be eligible for reimbursement only if your spouse is a full-time student or physically or mentally incapable for caring for him/herself.

For more information, visit docs.paylocity.com/Benefits/Videos/DCAP/story_html5.html.

You may contribute from $500 up to $5,000 in 2024 (up to $2,500 per year if married and filing separate tax returns). In addition, there may be other circumstances where your contributions are limited.

Keep Your Receipts

The IRS requires FSA administrators to carefully audit transactions. Therefore, you should save your receipts in the event Paylocity needs to prove your transaction was for eligible expenses. Your online FSA statement will advise you of any receipt that needs to be submitted for verification purposes.

If your spouse participates in a flexible spending account (FSA), health reimbursement account (HRA) or health savings account (HSA) through his/her employer, you should use caution when estimating the amount of your contributions under the PCOC health care FSA plans.

Grace Period and Claim Filing Deadline

You have until March 15, 2025 (or the date your full-time employment ends) to incur eligible health care and/or dependent care services, and until April 30, 2025 to claim expenses. Any unused/unclaimed balance remaining in your account will not be carried over and must be forfeited.

Online Health Care FSA Store

FSAStore.com is a one-stop online shop stocked exclusively with health care FSA-eligible products and services, to make it easier for you to use your health care FSA dollars – and get the best value from each dollar spent. When you use your Healthcare Card, transactions are automatically verified. FSA Store provides 24/7 customer service, one-to-two-day order turnaround on orders, and free shipping on orders over $50. 

FSA Savings Example

Below is an example of how participating in the FSAs can lower your taxes and help you keep more of your paycheck. The following example assumes an employee earns $3,000 per month, is married with one child and makes a health care FSA election for $2,400 per year and a dependent care FSA election for $4,800 per year. 

This example highlights how your take-home pay could change if you participate in the FSAs. Individual situations differ depending on your income tax status, so you should contact your tax advisor to discuss your specific tax situation. If you decide to enroll in one or both of the plans, estimate your expenses carefully and elect to contribute an amount you are confident that you will spend during the applicable plan year. Use the savings calculator at wexinc.com/insights/benefits-toolkit/fsa-calculator to help you decide how much to contribute. 

Savings Comparison
Taxable Income
FSA Contribution
Taxable Income - Adjusted
Subtract Federal and Social Security Taxes*
After-tax Dollars Spent on Eligible Expenses
Spendable Income
Your Tax Savings is:
Savings Comparison
Taxable Income
FSA Contribution
Taxable Income - Adjusted
Subtract Federal and Social Security Taxes*
After-tax Dollars Spent on Eligible Expenses
Spendable Income
Your Tax Savings is:
Savings Comparison
With FSAs
$36,000
- $7,200
$28,800
- $7,387
- $0
$21,413
$1,847
Savings Comparison
Without FSAs
$36,000
- $0
$36,000
- $9,234
- $7,200
$19,566

*Assumes combined tax rate of 25.65%

Paylocity Benefit Account App

You can file and manage your claims as well as review your account activity and balance through your smart device. To submit claims through the mobile app: 

  • Download the app from the App Store or Google Play. 
  • Log on to your account. 
  • Select the desired benefit account from the menu (Medical or Dependent Care FSA). The Account Details page will display. 
  • Select the File a Claim link in the upper right. 
  • Select the Camera icon to either upload or take a photo of the receipt. 
  • Complete Claim Details. 
  • Select Submit. 
Paylocity Member Services

Group # 14449

(800) 631-3539

http://bat.paylocity.com/

batinfo@paylocity.com

Questions or need help?
Contact the PCOC Benefits Service Center

(855) 726-2291

pcocbenefits@teamcreativa.com

FSA Forms and Documents