2025 HCFSA Contribution Change Request

We recently conducted open enrollment for Flexible Spending Accounts (FSAs) for 2025. At that time, we did not have updated IRS contribution limits. Since open enrollment closed, the IRS raised the 2025 maximum Health Care FSA (HCFSA) to $3,300 instead of $3,200.

You have an opportunity to increase your 2025 FSA contribution using the form below.

• You may only increase your contribution amount.
• You may not decrease the contribution amount you chose during open enrollment.
• If you are satisfied with the amount you chose during open enrollment, you don’t have to change your contribution.