A Flexible Spending Account (FSA) enables you to set aside tax-free money in an account that you can use to pay for eligible health care or dependent day care expenses. By using tax-free money to pay for these expenses, you lower your taxable income, which can reduce the amount of taxes you pay. You can elect the Health Care FSA, the Dependent Day Care FSA, or both. You can enroll in an FSA even if you're not enrolled in other Hertz benefits.
Plan carefully when determining how much to contribute. You must incur eligible expenses no later thanSeptember 15 and submit for reimbursement by December 31 following the end of the prior plan year (June 30). Any unused balance will be forfeited.
Our FSA partner is UMR. See this step-by-step guide for how to register, file a claim, and more. To save time and avoid paper checks, you may choose to have reimbursements made by direct deposit into your bank account. Simply complete and submit the Direct Deposit Authorization Form.
Health Care FSA (HCFSA)
The Health Care Flexible Spending Account (Health Care FSA or HCFSA) allows you to set aside money $100 to $2,700 annually to pay for eligible health care expenses with pre-tax dollars. Use the account to pay for medical, dental, vision, and prescription drug expenses, including deductibles, copays, and coinsurance.
- You may use the Health Care FSA on expenses for you and your eligible dependents.
- Funds are available after you enroll.
FSA Debit Cards
When you enroll in the Health Care FSA, you’ll receives an FSA convenient debit card for dental, vision, and prescription drug expenses. You cannot use your debit card for medical claims. You must either pay for your medical claims through auto reimbursement or by filing a manual HCFSA claim form.
If you're enrolled in a Hertz medical plan administered by UMR and you submit a medical claim, any eligible medical expense balance that is not paid by the plan will automatically be reimbursed from your Health Care FSA. You won’t have to file an FSA claim.
If you choose to opt out of automatic reimbursement of claims, you may do so by completing the Automatic Reimbursement Opt Out Form. You can download the form here. You may wish to opt out of automatic reimbursement if you need to use the funds for an expense other than medical plan items (dental, vision, etc.)
If you opt out of automatic FSA reimbursement, and later decide you would like to again select automatic reimbursement, just complete the Automatic Reimbursement Form. You can download the form here.
If you're enrolled in the Consumer Health Account Plan 1 or 2, your HCFSA dollars will be automatically used after you've exhausted your HRA.
Note that regardless of how you pay your claims, you may still need to submit documentation of your purchases.
Dependent Day Care Flexible Spending Account (DCFSA)
The Dependent Day Care FSA (DCFSA) allows you to set aside up to $5,000 annually ($2,500 maximum if you are married and file separate tax returns) to pay eligible dependent care expenses with pre-tax dollars.
Note: The Dependent Day Care FSA is for child care or elder care expenses. It is NOT for health care expenses for your dependents. Use the account to pay for child care or elder care expenses while you and your spouse work or attend school. Examples of eligible expenses include:
- Child care or babysitting
- Before- and after-school programs
- Nursery school or preschool
- Adult/senior daycare
- The Dependent Day Care FSA may be used for eligible expenses for children under age 13 and certain elderly or disabled dependents.
- Funds are available as you deposit them into your account.
When you have a dependent day care expense, you pay the provider and then file a claim for reimbursement by completing and submitting a DCFSA claim form. You must include your receipt with your claim, clearly marking it as paid, in order to be reimbursed.