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The Flexible Spending Account (FSA)

Flexible Spending Accounts (FSAs) allow consumers to contribute money on a tax-free basis for common out of - pocket healthcare expenses. Companies often offer two types of spending accounts. The most popular is a medical FSA, where a worker sets aside money to pay items such as health insurance copays, uninsured treatments (for example, vision care) or even over the - counter drug purchases. (Sorry, purely cosmetic surgery doesn't count.) Some companies also offer their employees a separate dependent care account to cover the costs of hiring someone to look after a child or other person who needs supervision while the employee is at work.

The money usually is taken out through regular, equal payroll deductions. And in both cases, the FSA deductions come out of a worker's paycheck on a pretax basis. Because taxes aren't calculated on the contributions, the actual bite to the paycheck will be less than the amount set aside. For example, a $100 per pay -period contribution might reduce a paycheck by only $75 because a smaller amount of taxes is withheld.

As helpful as these accounts are, they have one big drawback: the use - it - or lose - it requirement that costs workers millions of dollars each year. Previously, workers had to spend FSA contributions by the end of the company's benefit year, which in most cases is Dec. 31. Any leftover account amounts were forfeited. However, on May 18, 2005 the Internal Revenue Service loosened the use it or lose - it constraint by announcing that it will allow spending plan participants to make claims against their accounts for up to two months and 15 days after the end of their benefit year. That means employees on a calendar benefit year now can use their 2005 FSA contributions for expenses incurred as late as March 15, 2006.

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