The Internal Revenue Service issued guidance Tuesday to make temporary changes to section 125 cafeteria plans, with the goal of providing tax relief and flexibility in the midst of the novel coronavirus pandemic. The IRS is extending the claims period for health care flexible spending arrangements and dependent care assistance programs and enabling taxpayers to make mid-year changes to their accounts.
The guidance released Tuesday by the IRS deals with the unanticipated changes in expenses faced by many taxpayers as a result of the COVID-19 pandemic. The IRS is now allowing its previously provided temporary relief for high deductible health plans to be applied retroactively to Jan. 1, 2020, and also increases for inflation the $500 permitted carryover amount for health FSAs to $550.
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Lynn Pierce, FNP-C is a Risk Management Consultant at Aon Affinity's Nurses Service Organization. Lynn's background includes working in risk management as a director for an insurance carrier, acute care hospitals and integrated healthcare systems. She has also held leadership positions in quality, HIPAA privacy, environmental and patient safety, case management, corporate compliance, Workers' Compensation, and infection prevention. Prior to joining the risk management team at Aon, she worked as a full-time Nurse Practitioner in Georgia, where she lives.
Don Okolie is the global head of underwriting at Genpact, where he leads the growth, development, and market penetration of the practice globally. He has over 20 years of experience in claims adjudication, pricing and analytics, finance and accounting, operations, reinsurance, underwriting operations, project management, change, and transformation. Genpact is the Agentic Operations company helping over 300 insurers across the globe with AI-powered transformation.
In Notice 2020-29, the IRS is offering extra flexibility to taxpayers by:
- extending the claims periods for taxpayers to apply unused amounts remaining in a health FSA or dependent care assistance program for expenses incurred for those same qualified benefits through Dec. 31, 2020;
- expanding the ability of taxpayers to make mid-year elections for health coverage, health FSAs and dependent care assistance programs, allowing them to respond to changes in needs as a result of the COVID-19 pandemic; and
- applying earlier relief for high-deductible health plans to cover expenses related to COVID-19, and a temporary exemption for telehealth services retroactively to Jan. 1, 2020.
In conjunction with that notice, the IRS also issued Notice 2020-33, in response to the Trump administration’s Executive Order 13877, which directs the Treasury secretary to “issue guidance to increase the amount of funds that can carry over without penalty at the end of the year for flexible spending arrangements.” The notice ups the limit for unused health FSA carryover amounts from $500, to a maximum of $550, adjusted each year for inflation.


