Resources » Forms and Informational Materials
For Employees
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Forms
Informational Materials
- Premium Billing Brochure
- Frequently Asked Questions
- COBRA & Direct Billing User Guide
- COBRA & Direct Billing Mobile App Guide
Guides
For Employers
Informational Materials
Additional Information
Information Materials
Contribution Maximums
| TAX YEAR PARKING AND TRANSIT CONTRIBUTION MAXIMUMS | 2022 | 2023 |
| Parking Contribution Limit | $280 | $300 |
| Transit Contribution Limit | $280 | $300 |
For Employees/Retirees
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Information Materials
General Resources
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Contribution Maximums
| TAX YEAR FSA CONTRIBUTION MAXIMUMS | 2022 | 2023 |
| Healthcare FSA Contribution Limit | $2,850 | $3,050 |
| Dependent Care FSA Contribution Limit | $5,000 or $2,500 (married filing separate) |
$5,000 or $2,500 (married filing separate) |
| Limited Purpose FSA Contribution Limit | $2,750 | $3,050 |
Forms
Informational Materials
- Flexible Spending Account Overview
- Flexible Spending Account Overview (Spanish)
- DCAP Account Overview
- DCAP Account Overview (Spanish)
- FSA, LPFSA, and DCAP Eligible Expenses
- FSA, LPFSA, and DCAP Eligible Expenses (Spanish)
- FSA and DCAP Election Worksheet
- Employee Portal User Guide For Reimbursement Plans
- Mobile App Guide for Reimbursement Plans
- FlexExpress Debit Card
- For plans that have the Health FSA Rollover option on their new plan year. Choose the flyer that matches the dollar amount you indicated on your implementation or renewal paperwork.
- 500 Rollover
- 550 Rollover
- 570 Rollover
- 610 Rollover
- Mobile App Flyer
- Watch video of our mobile application
- Dependent Care FSA and IRS Child Care Credit Comparison
- FSA Tax Savings Calculator
- Online Shopping Flyer
- FSA Store Coupon
FSA Store
Over-the-counter items eligible under an FSA
Two permanent changes to FSA and HSA eligible expenses have been made under the federal CARES Act law signed March 27, 2020. Both of these changes are retroactive and effective for expenses incurred on or after 1/1/2020.
1) Over the Counter (OTC) drugs and medicines no longer require a prescription to be eligible. This includes products such as cough syrup, allergy medicine and pain relievers.
2) Menstrual care products (i.e. tampons, liners, pads, cups, etc.) are now eligible.
General Resources
Forms
Informational Materials
General Resources
Informational Materials
Contribution Maximums
| TAX YEAR HSA CONTRIBUTION MAXIMUMS | 2022 | 2023 |
| Single Coverage Contribution Limit | $3,650 | $3,850 |
| Family Coverage Contribution Limit | $7,200 | $7,750 |
| Catch Up Contribution Limit For HSA accountholders age 55+ |
$1,000 | $1,000 |
| TAX YEAR FSA CONTRIBUTION MAXIMUMS | 2022 | 2023 |
| Limited Purpose FSA Contribution Limit | $2,750 | $3,050 |
Forms
- HSA Beneficiary Designation Form
- HSA Distribution Request Form
- HSA Contribution Form
- HSA Transfer Form – used to transfer HSA funds into your Benefit Strategies HSA
- HSA Death Distribution Request Form
- HSA Correct Contribution Error Distribution Form
- The Anatomy of a Health Savings Account
- Mobile App Flyer
- HSA Overview Brochure
- HSA Overview Brochure (Spanish)
- HSA Eligible Expense List
- HSA Eligible Expense List (Spanish)
- HSA Tax Savings Calculator
- Employee Portal User Guide For HSAs
- HSA Mobile App User Guide
- Current Investment Options
- Guide to Health Savings Account Rules and Regulations
- HSA GPS Biweekly Blog
- Online Shopping Flyer
- HSA Store Coupon
Details on HSA Topics
- Establishing an HSA
- HSAs and Certain Business Owners
- HSAs and COBRA
- HSAs and Divorce
- HSAs and Employer Contributions
- HSAs and Estates
- HSAs and Interaction with Health FSAs
- HSAs and Interaction with HRAs
- HSAs and Medicare
- HSAs and Old Open Accounts
- HSAs and Partial-Year Eligibility
- HSAs and Rollovers from Other Accounts
- HSAs and Special Family Situations
- HSAs and VA Care, IHS, and TRICARE
HSA Documents
For Employers
| IRS Mandated Minimum Annual HSA Deductible | 2022 | 2023 |
| Single Coverage | $1,400 | $1,500 |
| Family Coverage | $2,800 | $3,000 |
Limited Purpose Flexible Spending Account
Informational Materials
Mobile Application
Download our mobile application in the Apple App Store or the Google Play Store.
New Hampshire Location
967 Elm Street
Manchester, NH 03101
Directions to this office
Mailing Address
Benefit Strategies
P.O. Box 1300
Manchester, NH 03105-1300
Toll Free: 1-888-401-FLEX (3539)
Fax: 603-647-4668
Email: HASinfo@voya.com
Hours of Operation:
8am to 6pm Monday - Thursday
8am to 5pm Friday
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