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San Joaquin Health Care 2004 JPA Handbook

Flexible Spanding Accounts (FSA)
The SJJPA offers its employees the opportunity to establish individual Flexible Spending Accounts (FSA). These accounts allow each eligible employee the option of establishing a Dependent Care Spending Account and/or an Un-reimbursed Medical Flexible Spending Account.

    Dependent Care Spending Account
    Under the IRC regulations, you may set aside part of your salary for day care expenses for your child(ren). It is important to accurately calculate how much your annual day care expenses will be and then have this money withdrawn from each paycheck and deposited into your very own account. Be conservative in making this calculation, as any money left over in your account at the end of the plan year can not be returned to you.

    In order to claim funds under your dependent care account you simply complete the worksheet provided by the administrator and submit this paperwork along with your receipt for dependent care expenses.

    In most cases, if your family’s annual income exceeds $15,000, this Plan provides the greatest advantage for dependent day care expense tax exemption.

    Un-reimbursed Medical Flexible Spending Account

    Setting up an Un-reimbursed Medical Flexible Spending Account allows you to set aside pre-tax dollars to pay for medical expenses not covered under your group medical plan. Below is a list of some of the allowable medical expenses:

    • Group medical, dental and vision insurance deductibles
    • Out-of-pocket expenses not covered under your medical, dental or vision plan
    • Supportive or corrective devices which in some cases are home improvements necessary for medical conditions such as whirlpool baths and filtration systems
    • Contact lens solution and enzyme cleaners
    • Transportation to medical facilities $.10 per mile


In order to claim funds under your un-reimbursed medical spending account, you simply complete the worksheet provided by the administrator and submit this paperwork along with your receipt for un-reimbursed medical flexible expenses.

Important Note: Monies in these two accounts are separate. You can not move money from one account to the other, so make sure your estimates for both accounts are conservative. Money left over in either or both accounts will be forfeited to the Plan.


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San Joaquin JPA Handbook 2004