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Dependent Care
Reimbursement Account

Authorized by the Internal Revenue Service (IRS), a Dependent Care Reimbursement Account allows you to pay for qualifying dependent or elder care expenses with pre-tax dollars. Contributions to this account are directly deducted from your paycheck before federal income or Social Security taxes are withheld, and qualifying reimbursements are also not taxable to you.

Using pre-tax dollars to reimburse yourself for things like full-time daycare, after-school care and summer day camp expenses can mean significant savings for you!

How It Works

Once you have met the eligibility requirements established by your employer, you have the opportunity to enroll in the Dependent Care Reimbursement Account. You must re-enroll during the open enrollment period prior to each plan year in order to continue participating. Once you choose to enroll, you will need to:

NOTE: If your plan is on a July 1 - June 30 plan year, please be aware that calendar year, federal tax maximums still apply for dependent care expenses.

The amount you elect to contribute is deducted from your paycheck in equal installments throughout the plan year, and deposited in your Dependent Care Reimbursement Account.

Once enrolled in a Dependent Care Reimbursement Account, you cannot change your payroll deduction amount until the next open enrollment period except when you experience a change in family or employment status like marriage, birth, death, divorce, taking a paid or unpaid leave of absence, termination or commencement of your or your spouse's employment, or a change in hours (such as from full- to part-time). A more complete list of change-in-status events and other requirements for mid-year election changes are included in the Plan Document.

After you incur an eligible expense, you can seek reimbursement from your account.

Eligible and Ineligible Expenses

Your Dependent Care Reimbursement Account can only be used to reimburse qualifying dependent care expenses incurred during the plan year (or during the 2½-month grace period immediately following the plan year if elected by your employer). A dependent care expense is incurred at the time the service is furnished and not when you are billed, charged for, or pay for the service.

To qualify, the expenses must:

A qualifying dependent is:

A qualifying provider is:

You will be required to furnish the tax identification number (or Social Security number) of your provider in order to receive pre-tax treatment for their fees.

Examples of expenses ineligible for reimbursement through a Dependent Care Reimbursement Account include:

Receiving Reimbursement

When you incur an eligible dependent care expense, you can apply for a reimbursement from your account in one of two ways:

  1. Submit to LGC a Healthcare FSA/Dependent Care Reimbursement Account Reimbursement Form obtained from your employer or downloaded from this website.
  2. Submit your claim securely online using by linking to My FSA Account, which is password-protected. Simply follow the site’s login instructions for entering required information and scanning, mailing or faxing related receipts.

You must provide an itemized bill or receipt that shows the date care was provided, the amount you are responsible for, and the name and taxpayer ID or Social Security number of the care provider. Please note that cancelled checks are not acceptable as proof of your expense. Mail or fax this information to:

NH Local Government Center
Attn: FSA Reimbursement
PO Box 617
Concord, NH 03302
603.415.3099 (fax)

Incomplete forms may be delayed or returned.

Reimbursement is provided on a weekly basis, and the minimum check amount is $20 unless it is the last claim of the plan year. Dependent care expenses will be reimbursed only up to your account balance at the time of your request. Any expenses claimed in excess of your account balance will be carried over and reimbursed when additional monies are credited to your account. Reimbursement requests are limited to expenses incurred during the plan year (or during the 2½-month grace period immediately following the plan year if elected by your employer) and may be submitted for up to 90 days after the plan year (or grace period) ends.

Important Tax Considerations

Keep in mind the following tax considerations when deciding whether to participate in the Dependent Care Reimbursement Account program:

Information About Your Account

For your convenience:

Your Dependent Care Reimbursement Account information is available to you 24 hours a day, 7 days a week by linking to My FSA Account, which is password-protected! You may access transaction information, account balances and account history.