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ASE/GSR Dependent Care Examples

The following are examples of payroll deduction schedules to show how you may claim eligible expenses under the DepCare FSA program. The examples assume that you submit a completed enrollment form to the designated office in time for processing by the 15th of the first month of your eligible appointment.

The first deduction is taken from your first payroll check received on the first of the following month for monthly paid employees.

It's important to estimate your dependent care expenses carefully. The IRS requires that you forfeit any unclaimed money in your DepCare FSA account after enrollment is terminated or the closing date for the plan year, whichever occurs first.

example 1

example 2

example 3

example 4

  • Effective date is the first day of the month following your enrollment if enrolled by campus deadline.
  • DepCare FSA termination date is at the end of the pay period in which your last DepCare FSA contribution is deducted from your paycheck. In Example #1, the DepCare FSA termination date is April 30.
  • Reimbursement occurs after claim form has been submitted and processed by CONEXIS.