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by Nadine Spindler on Jul 24, 2008 - 12:57 PM read 258 times
 

How much can you contribute to the FSA

If you selected the Medical Base Plan (HSA) - Limited FSA

  • You are eligible to participate in a Limited FSA if you enroll on the HSA Plan. You may contribute pre-tax dollars for dental and vision expenses, but medical expenses are not eligible.
  • Healthcare Maximum Contribution: $5,000
  • Dependent Care Maximum Contribution: $5,000 (per household)

If you selected the Medical Buy Up Plan -FSA

  • You may make pre-tax contributions to pay for medical, dental, and vision expenses including deductibles, co-pays, etc.
  • Healthcare Maximum Contribution: $5,000
  • Dependent Care Maximum Contribution: $5,000 (per household)

Claim Forms

Principal FSA Claim Form.pdf


Principal_LFSA_Claim_Form-_HSA_Only.pdf

Toll Free Fax Number 

Toll Free Fax Number to use when faxing paper claims or debit card receipt information to the Principal Life Insurance Company.

1-888-308-5270

Features of this new fax number:

  • Saves phone expenses for claimants
  • Provides us the ability to track faxed claims
  • Enables retrieval of faxes up to 30 days after submission
  • Reduces busy signals which slow down claim submission

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