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Flexible Spending Account (FSA)

Plan Details

 

Chambliss Bahner & Stophel offers employees a Healthcare Flexible Spending Account (FSA), a Limited Purpose FSA and a Dependent Care Account (DCA) through Pinnacle. The maximum contribution is $3,200 for an FSA and $5,000 for a DCA this plan year.

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Start date - End date: 07/01/2024 - 06/30/2025

 

Carrier: HRPro

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Note: Limited Purpose FSAs may be used to pay for Dental and Vision expenses only. You may combine a Limited Purpose FSA with your HSA account, but you may not combine a Healthcare FSA (used for Medical, Dental and Vision expenses) with your HSA.

Contact Information

Pinnacle

Customer Service: 1-888-282-2605

www.pnfp.com/hblogin

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Plan Documents

FSA & DCA Employees Guide

Limited Purpose FSA Guide

FSA Claim Filing Options

FSA Login Instructions

FSA Expense List

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Forms

FSA & DCA Enrollment Form

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