***DEADLINE HAS EXPIRED***
OPEN ENROLLMENT
2024 FLEXIBLE SPENDING
** Current Participants Must Re-Enroll**
(For Calendar Year: 1/1/2024 - 12/31/2024)
OPEN ENROLLMENT
2024 FLEXIBLE SPENDING
** Current Participants Must Re-Enroll**
(For Calendar Year: 1/1/2024 - 12/31/2024)
Important New Flexible Spending Account News
Great news for all Employees who have signed up for FSA ( Flexible Spending). Restrictions on what is acceptable to purchase with your FSA Card has been changed. You can now use your FSA Card to purchase over the counter drugs, feminine products, etc. You can learn more at www.connectyourcare.com/blog/cares-act-extends-flexibility/. This is wonderful news as it will help to free up much needed money for some families.
THE MEDICAL FSA ALLOWS YOU TO SET ASIDE UP TO $3,050.00 PRE-TAX FROM YOUR PAYCHECK TO PAY FOR EXPENSES NOT COVERED BY INSURANCE.
Cafeteria Plans Advisors, Inc.
Website: http://www.cpa125.com
CPA also offers a mobile app, where you can check your account activity.
Download “CPA FLEX MOBILE” from your Apple App Store or Google Play Stores.
Website: http://www.cpa125.com
CPA also offers a mobile app, where you can check your account activity.
Download “CPA FLEX MOBILE” from your Apple App Store or Google Play Stores.
IMPORTANT: Please print and complete an AUTHORIZATION FOR PRE-TAX PAYROLL REDUCTION form below.
If you are currently enrolled you may complete the Enroll Form and return directly to Cafeteria Plan Advisors via email ([email protected]) or fax (781-848-8477) This year you also have the option of enrolling online. Log into account on a computer and re-enroll.
IMPORTANT: NEW enrollees must complete the Enroll Form and return to Molly Eldridge by the Deadline.
The deadline to return forms for a Medical Flexible Spending Account and Dependent Care is November 29, 2023.
(Please submit original copies - do not email)
Please return all completed forms to Molly Eldridge at the Treasurer's Office
20 Centre Street, 3rd Floor
Middleborough, MA 02346
508-946-2420 (X1124)
Email: [email protected]
***ANY INCOMPLETE FORMS WILL BE RETURNED***
Note: If you have any questions, you can also email at [email protected]
Welcome to Health Care FSA
2024 Flexible Spending Benefits
2024 Health Care FSA Eligible Expenses
***2023 Authorization For Pre-Tax Payroll Reduction Formauthorization_for_pre-tax_payroll_reduction.pdf
(to be completed and returned by November 29, 2023)
Note: All NEW ENROLLEES must also fill out the Direct Deposit Authorization Form and set up Direct Deposit via your online account portal.
(to be completed and returned by November 29, 2023)
Note: All NEW ENROLLEES must also fill out the Direct Deposit Authorization Form and set up Direct Deposit via your online account portal.
Welcome to Dependent Care
***2024 Dependent Care Claim
Dependent care reimburses you for:
***2024 Dependent Care Claim
- Max Allowance per Household: $5000
Dependent care reimburses you for:
- Day Care
- Before School Care & After School Care
- Summer Day Camp
- Elder Care
THE DEPENDENT CARE FSA ALLOWS YOU TO SET ASIDE UP TO $5,000.00 PRE-TAX FROM YOUR PAYCHECK TO PAY FOR EXPENSES NOT COVERED BY INSURANCE.