EMPLOVA BENEFITS

Limited Purpose FSA

Plan details2026–2027

LIMITED PURPOSE FSA

Pair an HSA with pre-tax dental and vision funds.

A limited purpose FSA is designed for eligible members who participate in an HSA and want a separate account for dental and vision expenses.

HSA + Limited FSA flyer
$3,4002026-2027 contribution limit
Day 1full election is available
$680maximum carryover after runout
01

What it covers

Eligible dental and vision products and services for you, your spouse and eligible dependents.

02

Who can enroll

You must be enrolled in an Emplova HSA medical plan and participate in the HSA.

03

If employment ends

The account ends on the termination date. You have 90 days to submit eligible claims for services received before that date.

LINKS & RESOURCES

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