Flexible Spending Account (FSA)
If you have any FSA related questions, please contact Joan Zaw and Debbie Poon. We recommend for all employees to visit the New York City Office of Labor Relations’ webpage for the most up-to-date information and document submission.
Forms and Resources
- NYC Flexible Spending Accounts (FSA) Program Summary
- 2023 Flexible Spending Accounts Program Brochure
- 2023 FSA Enrollment/Change Form
- 2023 MSC Health Benefits Buy-Out Waiver Enrollment/Change Form
- 2023 MSC Premium Conversion Enrollment/Change Form
FSA Claims Forms
Please direct all inquiries/correspondence and claims as follows:
1) Inquiries and questions can be sent via email to the Program.
2) Forms/documents can be submitted electronically to: https://nyc-fsa.leapfile.net
Please note that, once the FSA office receives and processes the HCFSA/DeCAP enrollment forms, the participants will receive a confirmation letter.
Important: If the participant does not experience FSA payroll deductions in January 2023, the participants should notify the FSA office immediately. Please note that, for CUNY Baruch employees, the payroll deductions will begin in the second paycheck in January 2023.
Plan Year 2023