Flexible Spending Account

According to IRS guidelines, you may elect to have your employer deduct a portion of your paycheck and deposit the money into one or both of these accounts. The money is deducted from your paycheck BEFORE TAXES ARE PAID. The IRS treats this amount as if you never earned that money (its “pretax” money, in financial jargon).

Medical, dental, and vision costs you incur during the year may be reimbursed from your medical spending account to a maximum of $2,500. Daycare/babysitting expenses may be reimbursed from the dependent care spending account to a maximum of $5,000.

Please forward completed claims forms and/or enrollment forms to: Dixie Weaver, 65 Billerbeck Street, New Oxford, PA 17350. If you have any questions/concerns feel free to contact Dixie at 624-6492 or dlweaver@iu12.org.

What is a Flexible Spending Account? (brochure)

Medical Spending Account Enrollment Form

Dependent Care Account Enrollment Form

FSA Medical Claim Form

FSA Dependent Claim Form