Guidance on Health FSA Features

Posted by BAS - 23 June, 2016

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Recent guidance from the IRS confirms two widely understood features of a health flexible spending account plan.

  • Health FSAs Cannot Reimburse Insurance Premiums. IRS Information Letter 2016-0001 confirms that health FSAs cannot be used to reimburse or pay health insurance premiums. A copy of the Information Letter can be accessed here
  • No Exclusion from Income for Reimbursement of Spouse’s Pre-Tax Premiums. IRS Information Letter 2016-0009 confirms that amounts paid to an employee to reimburse a spouse’s health premiums may not be excluded from the employee’s income if the spouse paid the premiums on a pre-tax basis, such as through salary reduction under a cafeteria plan.  A copy of the Information Letter can be accessed here.  

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