Flexible Spending Accounts (FSA)

Flexible Spending Accounts (FSA’s) let you set aside a portion of your paycheck tax free to pay for certain health and dependent care expenses. Contributions are deducted from your paycheck prior to federal, state and social security taxes.  You MUST re-enroll in one or both plans during the FY20 open enrollment if you want to continue contributions to one or both of these plans.

There are two types of FSA accounts:  a Medical FSA and a Dependent Care FSA.  You can only use these accounts for the purposes that they are designated for and each account has a specific dollar limit.  The FSA benefit period mirrors the benefits year.  That means that the funds you set aside for this purpose can only be used for expenses incurred during the benefit year (7/1 - 6/30).  

Reminder - for the medical FSA, the Town of Wellesley will match any Medical FSA contribution (up to $150 per individual plan and $450 per family plan) for employees choosing a Benchmark plan.  

*Please note:  Medical FSA accounts cannot be used in conjunction with a High Deductible Health Plan (HDHP).  Employees choosing a HDHP can use an HSA to reimburse for medical and dental expenses.  

Individuals choosing a Benchmark plan will able to contribute a maximum of $2,700 to a Medical FSA on their own for the FY20 benefit year ($2,750 for FY21) and will still be allowed to roll-over any unused funds up to a maximum of $500 into the new plan year starting on 7/1.  A link to the list of eligible reimbursable Medical FSA expenses can be found in the chart below.

FY20 Flexible Spending Overview FSA Medical Claim Form
FY21 Flexible Spending Overview
Health Care FSA Eligible Expenses List


Dependent Care FSA - Individuals can contribute up to $5,000 pre-tax per household for dependent care needs.  There is no carryover for dependent care funds and Dependent Care FSA’s can be used in conjunction with a HDHP.

Dependent Care Overview
FSA Dependent Care Claim Form


Both the Medical and the Dependent Care FSA plans are administered by Cafeteria Plan Advisors.  Click here to view their website for more information.