January 2022 Open Enrollment

A Flexible Spending Account (FSA) is great way to stretch your dollars. Use before-tax benefit dollars in your FSA to reimburse yourself for eligible out-of-pocket medical and dependent care expenses. This is a great way to enjoy tax savings and put more money in your pocket! There are 24 pay periods in the year that FSA deductions are withheld. Participants are not able to change their election mid-year unless there’s a qualifying event, such as marriage, birth of a child, or divorce. Please see the link below for more information about FSAs.

FSA Real Savings - Real Simple

All employees must turn in a completed form EVEN if they don’t want to participate. Just check the box at the top of the FSA form to indicate you’re declining. 

This is the form that needs to be completed by everyone (even if you don’t have health insurance through the City of Fort Dodge).

FSA Enrollment Form

See below for the maximum contribution limits for 2022. We should know more about the health care limits soon. If you want to contribute the max for health purposes, just note that on the form when you turn it in. Once that information is released by the IRS, we’ll communicate with you for verification purposes.

2022 FSA Rates

For employees on the High Deductible Health Plan, please indicate how much you’d like to contribute from each pay check into your Health Savings Account. If you don’t want to contribute anything to your HSA, simply write in $0 and return the form. 

HSA Contribution Election Form

Below you find the limits for 2022. Please make sure you stay within the limits set by the IRS. These deductions are taken twice a month, 24 pay periods annually.

2022 HSA Rates

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Jamie N. Anderson, Human Resource Director

In this Department

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