How to use your Section 125 Flexible Spending Plan.

Section 125 of the Internal Revenue code allows Employers to sponsor a plan for their Employees that creates PRE-TAX savings through the reduction of:

• Medical Insurance Premiums
• Out-of-Pocket Medical Expenses
• Dependent/Child Care Expenses
• Personally Paid Health Insurance Premiums

Use the calculator to see what you could save.

• FSA Eligible Expenses
• FSA Savings Calculator
• Dependent Care FSA
• Commuter Benefits
• Limited Purpose FSA

Select Your Annual Income Less than $30,000 $30,000 - $40,000 $40,000 - $70,000 Greater than $70,000 Select Your Pay Cycle Weekly Bi-Weekly Semi-Monthly Monthly Annual Medical Insurance Premiums (payroll deducted) Health Insurance $ Vision and/or Dental Insurance $ Group Term Life Insurance $ Other $ Total $ Annual Healthcare Expenses (estimated) (out-of-pocket un-reimbursed medical) Doctor visits and co-pays $ Deductibles $ Prescription drugs $ Weight-loss programs (associated with a specific disease). $ Prescribed medical supplies/equipment $ Travel to doctor or hospital $ Eye exams & surgery $ Glasses/contacts/solutions $ Dental checkups $ Fillings/crowns $ Orthodontia $ Chiropractic $ Psychiatric or psychologist's fees $ Other $ Total $ Annual Child/Dependent Care Expenses (estimated) (Annual Maximum Limits of $5,000.00) Children(s) $ Adult(s) $ Total $ Annual Adoption Expenses (estimated) Attorney fees $ Court costs $ Legal adoption fees $ Other $ Total $ Estimated Annual Expenses and Tax Savings Total Medical Insurance Premiums $ Total Out-Of-Pocket Medical Expenses $ Total Dependent Care Expenses $ Total Adoption Expenses $ Total Annual Expenses $ Annual Tax Savings $ Estimated Savings Amount Per Paycheck $