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HSA/FSA/DCFSA

Whether you are building a long-term health savings nest egg with a Health Savings Account (HSA) or budgeting for predictable, upcoming costs with a Flexible Spending Account (FSA), HealthEquity’s intuitive platform makes it easy to contribute, track, and spend your funds. Review the resources below to understand your options, estimate your savings, and complete your enrollment for the upcoming plan year. 

Health Savings Account

Members enrolled in Harvard Pilgrim’s High Deductible Medical Insurance Plan receive a town contribution of $1,200/individual and $2,400/family to an HSA account through Health Equity. Members enrolled in this plan are also eligible to contribute additional funds, on a pre-tax basis through payroll deductions utilizing the enrollment form below. These contributions can roll over year to year.

Flexible Savings Account

The Town continues to offer health care and dependent care flexible spending accounts (FSA), administered by Health Equity, which allow you to pay for eligible health and dependent care expenses with pretax dollars.

Please note you must re-elect coverage each year to continue participating, even if you do not elect to change your coverage amount.

You may elect to contribute between $100 and $3,400 to a Health Care FSA for the plan year.

• Run-out period - 90 days the amount of time to submit receipts at the end of the plan year.

• Run out days for terminated employees- 90 days.

• Carry over $680 to the following year. (based on IRS rules in effect)

• Max amount allowed - $3,400 Front-loaded.

Dependent Care Flexible Savings Account

You may elect to defer from $100 to $7,500 of your salary into a dependent care FSA per household. If you are a highly compensated employee (HCE), defined by the IRS as an employee with annual compensation greater than $160,000, your election will be capped at $3,750 and may be reduced during the year, if necessary, to ensure that the plan passes required discrimination testing.

• Run-out period - 90 days.

• Run out days for terminated employees- 90 days.

• Offer a grace period-90 days.

• Max IRS : $3,750 individual / $7,500 married filing jointly

• DCFSA is not front-loaded, and employees can only spend what they have contributed.

• Allow spend down till the end of the plan year for term employees.

Enrollment Form

Health Savings Account Enrollment

Flexible Savings Account Enrollment

Dependent Care Flexible Savings Account Enrollment

Contact: For more information, please visit Health Equity or call 866-346-5800