Flexible Spending Account Forms and Documents

Flexible Spending Account Forms

2020 Enrollments: The Internal Revenue Service regulates Flexible Spending Accounts (FSAs). Unlike other benefits, IRS rules do not allow FSA enrollments to continue from one year to the next.

  • Open Enrollment Participants:  If you are currently enrolled in an FSA and want to participate in 2020, you will need to re-enroll. Download the 2020 Health Care FSA and or Dependent Care FSA Enrollment Form. Submit your completed and signed form by December 6, 2019. Learn more.

  • New Employees or Newly Eligible for Benefits: If you are a new employee or newly eligible for benefits and your job is on the U-M system after 5:00 p.m. on October 11, 2019, your enrollment for most benefits will continue through December 31, 2020 as long as you remain eligible. However, if you want to participate in an FSA you will need to complete and submit separate forms to participate in 2019 and/or 2020.

Flexible Spending Account Book

More Information on Flexible Spending Accounts