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Tax Implications
Tax Savings Chart
Covered Expenses-Medical FSA
Covered Expenses- Dependent Care FSA
FSA Budget Worksheet
Reimbursement Claim Form
Direct Deposit Form
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COVERED EXPENSE UNDER THE DEPENDENT CARE ASSISTANCE FSA
To the extent these services are not reimbursed by insurance
or any other source, you may submit the charges for payment from your Dependent
Care Assistance Account. This is a partial list. For additional information,
contact Personnel Services at extension 3181.
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Covered Expenses
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Not Covered
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Licensed nursery schools/day care centers
Day care or sitter's fees for your children or disabled adult dependent,
provided that the sitter is over age 18 and not a relative residing in
your home.
Care before and after school
Day camp for children under age 13 during summer school vacation
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Expenses incurred for services provided before you began participating
in the reimbursement account
Baby-sitting when you aren't at work or school
Expenses for dependents who are not eligible, including children age 13
and older
Educational programs and private schools
Kindergarten
Recreational or athletic programs
Overnight camp
Transportation
Dependents who could be cared for by your employed spouse whose work hours
do not coincide with yours
Full-time residential institution (i.e. nursing homes)
Private schools for first grade and beyond
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Note: To file for reimbursement from this account, you must provide
the name and social security number of your dependent care provider, or
the Federal Tax Identification Number of the dependent care center on a
reimbursement account claim form.
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