FSA and DCA

A flexible spending account is a benefit that allows you to set aside pre-tax dollars to pay for eligible dependent care expenses and/or health care expenses for you, your spouse, and your eligible dependents.

Use the enrollment setup instructions to set up your elections for a Medical Flexible Spending Account and/or Dependent Care Flex Spending Account on the csONE site. The maximum election amount this year (2022-2023) for FSA is $2850 and $5,000 for Dependent care. Up to $660 of unused funds from your Medical Flex account will roll into the new fiscal year. New hires will have 30 days to decide to make an election once they are eligible for benefits.

FSA Reimbursement Request Form (fillable)

Dependent Care Claim Form (fillable)

Authorization Agreement for Direct Deposit for reimbursements and claims.

csONE

csONE Employee Portal Set Up Instructions
csONE FSA/DCA Enrollment Set Up Instructions

Questions about these two benefit accounts should go to csONE at 603-227-2021 or Lisa Ouellette at louellette@csone.com