Flexible Spending Accounts

What's an FSA?

A Flexible Spending Account (FSA) is a special account through which pre-tax money is deducted from your paycheck to use to pay for eligible out-of-pocket health care costs such as office visit co-pays, deductibles or prescription co-pays.

FSA Documents

• Flexible Spending Brochure 2023
• Flexible Spending Insert 2023
• Flex Payment Card FAQ
• How To Submit Claims
• Flex Administrators FSA FAQ
• Eligible Health Care Expenses

FSA Forms

• FSA Reimbursement Form (Health and Dependent Care)
• FSA Dependent Care Mandatory Statement
• FSA Direct Deposit Form 
• FSA Change of Status Form

FSA Store

• FSA Store Eligibility List

Contact

• Call Debra Davis at (616) 234-4175 or email debradavis1@grcc.edu.
• Call Maria Belmares Herrera at (616) 234-4052 or email mherrerabelmares@grcc.edu.