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Flexible Spending Account(s) (FSA)
Plan Year: 03/01/2005 - 02/28/2006
View previous plan year
Balance Year to Date
FSA Account Type
Annual Election
Year To Date Contributions
Year To Date Claims
Year To Date Payments
Remaining Balance
Healthcare
$2,000.00
$833.30
$502.00
$502.00
$1498.00
Dependent Care
$2,400.00
$1,000.00
$400.00
$400.00
$2,000.00
Check Frequency
Healthcare FSA = Daily
Dependent Care FSA = Weekly
Minimum Check Amount
$25.00
Direct Deposit
Available
Add/Change Direct Deposit Settings
Automatic Payment
On
Add/Change Automatic Payment Settings
Consumer Accounts Card
Active
Consumer Account Card FAQ's
Dispute Form
Purchase over-the-counter drugs
and have them automatically submitted to your FSA.
Estimate FSA Savings
FSA Claim Summary
Date of Service
Received Date
Status
Amount Submitted
Amount Paid
Amount Pending
Paid by
CAC
01/31/06– 02/28/06
More details
04/01/06
Processed 4/15/06
$400.00
$400.00
$0.00
No
02/23/06
More details
03/01/06
Processed 3/15/06
$10.00
$10.00
$0.00
No
03/20/06
More details
04/01/06
Processed 4/15/06
$42.00
$42.00
$0.00
No
Also See
Eligible and Ineligible FSA expenses
Frequently Asked FSA questions
Common Questions
more
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Today's Date: Jun 5, 2006
©2006 UnitedHealthcare