For a list of Cigna's eligible FSA & HSA reimbursable expenses please check here



Health Savings Account
(HSA)
Flexible Spending Account
(FSA) Healthcare
Dependent Care FSA
(DCFSA)
Limited Purpose FSA
(LPFSA)

What is it? 

A pre-tax contribution account for those enrolled in a high deductible health plan. Funds roll over and accumulate each year even if they are not spent. You keep 

the account even if you switch employers. 

A pre-tax contribution account used to pay for eligible healthcare, dental & vision 

expenses for you and/or your family. However, if you switch employers you will lose the account. 

A pre-tax contribution account used to pay for eligible dependent care expenses for your family. If utilizing for childcare expenses the dependent must be under the age of 13. This is “use it or lose it” and you will also lose the account if you switch employers. 

A pre-tax contribution account used to pay for dental and vision 

expenses for you and/or your family. However, you will lose the account if you switch employers.

What can I use the funds for? 

Qualified medical, dental and vision expenses 

Qualified medical, dental and vision expenses 

Dependent Care services (preschool, summer day camps, child or elder care) 

Qualified dental and vision expenses 

Vendor 

BMO Harris 

Cigna

Cigna

 Cigna

Max Contribution Limit (Individual/ Family) 

$3,850/$7,750

$3,050 

$5,000

$3,050 

Annual Company Contribution (Individual/Family) 

$420/$780 

$0 

$0 

$0 

Debit Card to Use 

Yes 

Yes 

No 

Yes 

Eligibility Requirements 

Regular full-time employee, enrolled in HDHP 

Regular full-time employee enrolled in any plan except HDHP 

Regular full-time employee 

Regular full-time employee, enrolled in any plan 

Annual Carryover Limit 

No limit 

$610

No rollover 

$610

Changing Contribution Amounts 

Can change at any time in Dayforce  

Amounts can be adjusted only during enrollment or if you experience a qualified life event 

Amounts can be adjusted only during enrollment or if you experience a qualified life event 

Amounts can be adjusted only during enrollment or if you experience a qualified life event 

What happens when I leave the company? 

Follows you even if you switch employers 

Terminates on the last day of the final month of your employment

Terminates on the last day of the final month of your employment 

Terminates on the last day of the final month of your employment 


**At the end of 2023, the annual carryover limit for FSA (limited purpose & healthcare) will be subject to IRS maximum.