» The Dependent Care Assistance Plan is designed for anyone with eligible dependents who must pay for the services of a dependent care provider in order to work. If you are married, your spouse must be unable to care for your dependents because he or she works, is actively seeking work, is a full-time student or is disabled. The maximum annual pledge for this account is $5,000.
» Direct Deposit Enrollment
Use this form to have your reimbursements deposited directly into your bank account.
» Orthodontia Information
Instructions on how to submit your orthodontia expenses.
» Parking and Transportation Claim Form (2012)
» Parking and Transportation Claim Form (2013)
Use these forms to submit expenses to PayFlex for reimbursement.
» Eligible Expense Items
A general overview of eligible and ineligible expenses. Please note: Certain over-the-counter drugs will no longer be covered without a prescription effective Jan. 1, 2011.
» Dependent Care Tax Savings Calculator
A worksheet to help you and your family maximize the tax savings allowed by the IRS.