FSA Changes Coming in 2013
Beginning January 1, 2013, Health Care FSA contributions will be limited to $2,500 per calendar year per employee as a result of the new health care reform law. An important part of the law to take note of is that this change applies to the calendar year and not the plan year. This could cause a bit of a dilemma for plan years that do not coincide with calendar years.
Consider a Health Care FSA plan year that runs from July 1 through June 30 and imposes a $5,000 maximum. How is that maximum affected by the $2,500 limit imposed in 2013? Thus far, the IRS has yet to address this issue or deliver a concrete course of action. Unless and until it does, we presume one of three possible options would comply with the intent of the new law.
Option One: The most conservative option would be to simply impose the $2,500 limit before 2013. In the above example, for instance, the employer would simply reduce the $5,000 limit to $2,500 beginning July 1, 2012.
Option Two: Another cautious option would be to declare a so-called "short plan year" for the balance of 2012 and start things fresh on January 1, 2013 with a plan year that follows the calendar year. In the above example, for instance, participants could elect up to $5,000 for the July 1- December 31 short plan year. Of course, this option may not be acceptable to plan sponsors who do not want to administer a plan year that follows the calendar year.
Option Three: This option is somewhat more aggressive than the above two, but may be something some plan sponsors want to consider: Employees would "front-load" some of their salary reductions in 2012 for use during the 2013 part of the plan year
Also remember beginning Jan. 1, 2011, over-the-counter (OTC) medications are no longer eligible for reimbursement from a Flexible Spending Account (FSA), Health Savings Account (HSA), or Health Reimbursement Account (HRA) unless obtained with a prescription.
Also in 2011, the excise tax for non-qualified HSA withdrawals doubled to 20%.
http://www.uhc.com/live/uhc_com/Assets/Documents/hsa-hra-fsa-employer.html
Washington State currently has a program called Basic Health. This program covers individuals who are not covered by Medicaid and are below 200% of poverty level income. This program provides subsidies for Washington State residents and has a long waiting list. The PPACA requires the same type of program for individuals if they purchase insurance through the exchange. 