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eGuideFinancial Health

Flexible Spending Accounts

Flexible Spending Accounts

Flexible Spending Accounts (FSAs) through HealthEquity let you pay for eligible health care or dependent care expenses on a pre-tax basis through payroll deductions.

Types of FSAs

There are three types of FSAs administered by HealthEquity that help you save significantly on taxes while paying for health care and/or dependent care expenses.

FSA contributions for highly compensated employees may be limited depending on the outcome of certain IRS nondiscrimination tests.

Health Care FSA

Who can participate?

All benefits-eligible employees who are not enrolled in the HSA Core or HSA Value plans.

Annual IRS contribution limit

  • 2026 — up to $3,300
  • 2027 — up to $3,400

Eligible expenses

Medical, prescription drug, dental, and vision expenses not covered by your insurance are eligible (see the full list of IRS-approved expenses here).

Funds

  • Availability of funds — The full amount is available at the start of the year (or your benefits start date after you join)
  • Accessing funds — Use a HealthEquity debit card for eligible expenses, or file claims directly for reimbursement

Limited-Use Health Care FSA

Who can participate?

Employees enrolled in the HSA Core or HSA Value medical plan.

Annual IRS contribution limit

  • 2026 — up to $3,300
  • 2027 — up to $3,400

Eligible expenses

Dental and vision expenses only, until you meet your medical plan deductible; once you meet your deductible and submit the appropriate verification form to HealthEquity, funds can also be used for medical expenses (see the full list of approved expenses here).

Funds

  • Availability of funds — The full amount is available at the start of the year (or your benefits start date after you join)
  • Accessing funds — Use a HealthEquity debit card for eligible expenses, or file claims directly for reimbursement

Dependent Care FSA

Who can participate?

All benefits-eligible employees.

Annual IRS contribution limit

  • Individuals and married filing jointly — Up to $7,500
  • Married filing separately — Up to $3,750

Eligible expenses

Day care, preschool, and after-school care for a dependent child under age 13 or a tax dependent who is physically or mentally incapable of self-care (see the full list of IRS-approved expenses here).

Funds

  • Availability of funds — Funds are available as they’re withheld from your paycheck and deposited into your account
  • Accessing funds — File claims directly for reimbursement

Use-it-or-lose-it deadline

The 2026 deadline to file claims is March 31, 2027, for eligible expenses you incur(red) between January 1, 2026, and December 31, 2026.

In general, you have until March 31 of the following year to submit claims for services incurred between January 1 and December 31. Any unused FSA funds are forfeited.

How to use your funds

Save all itemized receipts!

  • Estimate your anticipated health care and/or dependent care expenses for the year.
  • Choose your annual contribution amount. To find your per-pay-period deduction, divide your annual election by the number of (or remaining) pay periods in the year.
  • 2027 Health Care FSA and Limited-Use Health Care FSA Contributions: Between $260 and $3,400.
  • 2027 Dependent Care FSA Contributions: Between $260 and $7,500 if married filing jointly or $3,750 if married filing separately.
  • Pay for eligible health care expenses using your HealthEquity debit card, or you can submit claims for health care and dependent care expenses via the EZ Receipts app (Apple Store/Google Play) or at HealthEquity.com.
  • Submit for reimbursement of eligible expenses incurred between January 1 and December 31 by March 31 of the following year. Reimbursement is available up to your annual election amount.
  • Per IRS rules, FSAs follow a use-it-or-lose-it policy, meaning any unused funds at year-end are forfeited.

For more information, check out the Flexible Spending Accounts briefing document.

Leaving the Company

Your FSA coverage ends on your termination date.

You can request reimbursement for eligible expenses incurred up to that date, and you have until March 31 of the following year to submit claims for services received within the plan year, up to your termination date. Any remaining balance is forfeited once eligible claims are paid, unless you enroll in COBRA coverage.

Compare the Vision Plans

* Allows an exam every 6 months for children under age 19.
** Once every calendar year. Benefit coverage is for either contact lenses
OR frame lenses but not both.

2027 Optional Child Life Insurance Monthly Rates (per $1,000 of coverage)

* Dependent Child(ren): $0.131 per $1,000 of coverage.

Monthly premium per $1,000 of coverage.

Copay PPO Plan

* The most you pay before the plan pays 100% of eligible expenses. Medical and Prescription Drug expenses are combined.

HSA Plans

* For HSA Core, no one in your family pays more than the individual deductible/OOP maximum before the plan pays 100% of their covered expenses. For HSA Value, there’s no individual cap on the deductible, but no one pays more than the individual OOP maximum.
** What you pay after the deductible is met.
*** The most you pay before the plan pays 100% of eligible expenses. Medical and Prescription Drug expenses are combined.
† If you use the ER for a non-emergency, you will be charged an additional $500 that will NOT count toward your deductible or OOP maximum.

Life & AD&D Insurance Coverage Summary

* The amount of coverage for active employees aged 65 and older is subject to annual age reductions in accordance with the plan. Please see the Life Insurance Certificate of Coverage & Schedule of Benefits on the Important Documents page for more information.
** The amount you elect for Optional Spouse Life cannot exceed the total of your employee Basic Life amount plus any Optional Employee Life coverage.

When Your Coverage Begins

* Calculator assumes all enrollment deadlines were met.

What Happens to Your Benefits
Copay PPO — Prescription Drug Coverage
HSA Core & HSA Value — Prescription Drug Coverage
Compare the Dental Plans

* Includes four periodontal maintenance visits per year; and one problem-focused visit per year
** Two per year for children and one per year for adults
*** One every 60 months until age 19
† Covers composite fillings for molar teeth
‡ One replacement in 24 months

2027 Medical Premiums — TOPS Products

TOPS Products premium amounts shown are per biweekly paycheck.
Base salary as of September 1, 2026, determines your salary band.
Medical rates already include the wellness credit and the tobacco-free credit.

2027 Vision Premiums

Premium amounts shown are per biweekly paycheck.

2027 Optional Life Insurance Monthly Premiums (per $1,000 of coverage)

Monthly premium per $1,000 of coverage.

2027 Optional AD&D Insurance Monthly Rates (per $1,000 of coverage)

Monthly premium per $1,000 of coverage.

2027 Medical Premiums

LSC Communications premium amounts shown are per biweekly paycheck.
Base salary as of September 1, 2026, determines your salary band.
Medical rates already include the wellness credit and the tobacco-free credit.

LTD Buy-Up Premium Worksheet — Sample Calculation

* The premium rate of $0.101 (per $100 covered monthly payroll) is of the 35-39 age-band and assumes a $45,000 annual salary.

2027 LTD Buy-Up Rates (per $100 of covered monthly payroll)

Premium per $100 of covered monthly payroll. Covered monthly payroll = annual salary / 12; number of units = covered monthly payroll / 100; monthly premium = units x rate.

2027 HSA Company Match Contribution

* For every $1 you contribute to your HSA, the Company matches $1 up to the coverage level match maximum each quarter for HSA Core or HSA Value medical plan participants.

If you are aged 65 or older and Medicare-eligible, you’ll need to opt out of the HSA Company contribution due to IRS rules.

2027 HSA IRS Contribution Limits

* For every $1 you contribute to your HSA, the Company matches $1 up to the coverage level match maximum each quarter for HSA Core or HSA Value medical plan participants.
** Employees aged 55+ can make an additional $1,000 catch-up contribution each year.

If you are aged 65 or older and Medicare-eligible, you’ll need to opt out of the HSA Company contribution due to IRS rules.

2027 Biweekly Hospital Indemnity Premiums

Premium amounts shown are per biweekly paycheck.

2027 Dental Premiums

Premium amounts shown are per biweekly paycheck.

2027 Biweekly Critical Illness Premiums

Premium amounts shown are per biweekly paycheck.
Premiums are based on your age and the coverage amount you elect ($10,000 or $20,000).

2027 Biweekly Accident Insurance Premiums

Premium amounts shown are per biweekly paycheck.

2027 Medical Premiums

Lakeside Book Company premium amounts shown are per biweekly paycheck.
Base salary as of September 1, 2026, determines your salary band.
Medical rates already include the wellness credit and the tobacco-free credit.

2027 HSA Company Contribution

* The Lakeside Book Company provides a seed contribution to your HSA that is automatically deposited.

If you are aged 65 or older and Medicare-eligible, you’ll need to opt out of the HSA Company contribution due to IRS rules.

2027 HSA IRS Contribution Limits

* The Lakeside Book Company annual maximum seed amount.
** The 2027 IRS Limit minus the $500 Company seed.
*** Employees aged 55+ can make an additional $1,000 catch-up contribution each year.

If you are aged 65 or older and Medicare-eligible, you’ll need to opt out of the HSA Company contribution due to IRS rules.

2027 Vision Premiums

Herff Jones premium amounts shown are per weekly paycheck.

2027 Medical Premiums

Herff Jones premium amounts shown are per weekly paycheck.
Base salary as of September 1, 2026, determines your salary band.
Medical rates already include the wellness credit and the tobacco-free credit.

2027 Weekly Hospital Indemnity Premiums

Herff Jones premium amounts shown are per weekly paycheck.

2027 Dental Premiums

Herff Jones premium amounts shown are per weekly paycheck.

2027 Weekly Critical Illness Premiums

Herff Jones premium amounts shown are per weekly paycheck.
Premiums are based on your age and the coverage amount you elect ($10,000 or $20,000).

2027 Weekly Accident Insurance Premiums

Herff Jones premium amounts shown are per weekly paycheck.