An LPHC FSA is used to pay out-of-pocket dental and vision eligible expenses not covered by insurance. It functions like a GPHC FSA but cannot be used for medical or prescription drug expenses. The LPHC FSA is compatible with an HSA.
Yes. Each spouse may contribute up to the annual maximum of $3,050 to their own LPHC FSA.
Yes. You can be reimbursed for your tax dependents' (as defined by the Internal Revenue Service Code) dental and vision eligible expenses through your LPHC FSA regardless of whether they are covered dependents under your insurance plans.
Note: A Dependent Care FSA is for eligible expenses incurred for the care of qualifying individuals (such as day care or elder care) and not a separate FSA for healthcare expenses.
An LPHC FSA covers out-of-pocket dental and vision eligible expenses not covered by insurance provided to you, your spouse, or eligible dependents.
Your full LPHC FSA election amount (also known as your annual goal) is available to you on the effective date of your enrollment, which is January 1, 2023 for employees who enroll during Benefits Open Enrollment (BOE).
Yes. Employees may carry over up to $610 of unused Health Care FSA funds into the following plan year.
No. Internal Revenue Service rules only allow enrollment in a single type of Health Care FSA during one plan year.
No. An eligible expense may only be covered by funds from a single account. You cannot use funds from both an HSA and the LPHC FSA for the same expense reimbursement.
Your LPHC FSA remains limited to dental and vision eligible expenses until an employee meets the Internal Revenue Service required minimum annual in-network deductibles (which differs from the State HDHP annual in-network deductibles) and provides proof to HealthEquity|WageWorks that the deductible limit was met. They will need to obtain an Explanation of Benefits (EOB) from their health insurance carrier verifying they or their covered dependents met the Internal Revenue Service in-network annual deductible. Once they've submitted their EOB and the HSA/HDHP Deductible Form to HealthEquity|WageWorks, they can also use their Health Care FSA for health and prescription drug eligible expenses through the remainder of that calendar year. For 2023 the IRS deductible maximums are $1,500 for single and $3,000 for family coverage.
You fund your Limited Purpose Health Care FSA through payroll deductions. During the Benefits Open Enrollment period, you designate how much you would like to contribute to your account for the coming calendar year (referred to as designating your annual goal). The maximum amount you can contribute is determined by the Internal Revenue Service. For plan year 2023, the annual maximum amount is $3,050. The state then deducts your contribution amount from your paychecks throughout the plan year, but your entire annual goal is available to you beginning with the effective date of your coverage.
Similar to the standard GPHC FSA, you can carryover up to $610 into the next plan year. Any amount over that is forfeited after the run-out period allowing you to submit eligible claims for plan year 2023 ends on March 31, 2024.
Employees that enroll in an HDHP with HSA midyear can elect the Limited Purpose HC FSA. If an employee has elected a standard GPHC FSA for the 2023 plan year and later experiences a qualifying life event (QLE) allowing midyear enrollment in an HDHP with HSA, they cannot transition from the GPHC FSA to an LPHC FSA, and cannot make or receive contributions to their HSA for the remainder of that calendar year.
Those funds, up to the carryover maximum of $610, would be carried over to a LPHC FSA for plan year 2024. If you do not enroll in an HDHP with HSA for plan year 2023, you could enroll in a GPHC FSA to ensure the carryover funds are in a GPHC FSA. If you don’t re-enroll in a HCFSA for plan year 2024, you can contact HealthEquity|WageWorks to request that the carryover balance be transferred to a GPHC FSA effective January 1, 2024.
Yes. In this scenario, if the HDHP with HSA enrollment took effect January 1, 2023, the GPHC FSA carryover amount would transfer to an LPHC FSA. The HealthEquity|WageWorks’ system will automatically update the GPHC FSA to LPHC FSA plan based on the 2023 HSA contributions being received.
No. Enrolling in an HDHP with HSA would not allow you to change or cancel your GPHC FSA election to establish HSA eligibility or to enroll in a LPHC FSA. Per IRS Notice 2005-86, an individual who is covered by a GPHC FSA is ineligible for HSA contributions for the individual's entire period of coverage under the GPHC FSA—even after the individual has completely exhausted the GPHC FSA balance. Coverage in a GPHC FSA will render the participant ineligible to make or receive contributions to the HSA for the entire plan year.
No. In accordance with Internal Revenue Service rules, you would be required to remain in the LPHC FSA for the remainder of that plan year.
No. Your current HealthEquity|WageWorks Health Care FSA Card can be used; their system is set up to link your Card to the plan you’re enrolled in. For 2023, if you elect a LPHC FSA, then only eligible dental and vision transactions will be approved on the Card.
