Flexible Spending Account (FSA)

Budget & Pay for Anticipated Expenses
Bloomin' Benefits 5 Benefits 5 Flexible Spending Account (FSA)

Pay for Expenses with an FSA

FSA Options & Eligibility

Flexible Spending Accounts (FSAs) are a convenient way to budget and pay anticipated expenses pretax. Bloomin’ Brands offers you two types of FSAs, administered by Wex:

  • Healthcare FSA: For eligible healthcare expenses for you and your dependents.
  • Dependent Care FSA: For eligible dependent day care expenses.

If you enroll in a Bloomin’ Benefits HSA medical plan, the Healthcare FSA is not available to you. Instead, you can contribute to your Health Savings Account (HSA).

Account Highlights

Healthcare FSA Overview

The Healthcare FSA is a way to pay for healthcare expenses for you and your tax dependents, including dependents who are not enrolled in your Bloomin’ Brands medical plan.

Use the Healthcare FSA to pay for:

  • Medical, dental, and vision deductibles, copays, and coinsurance.
  • Qualified health expenses not covered by your health plan, such as Lasik eye surgery.

For more details, refer to Wex’s Healthcare FSA Information Sheet.

20242025
Annual contribution$130 minimum
$3,050 maximum		$130 minimum
$3,200 maximum
For services incurredJan. 1 - Dec. 31Jan. 1 - Dec. 31
Claims must be received byMarch 31 of the following yearMarch 31 of the following year
Unused fundsForfeitedForfeited

Dependent Care FSA Overview

The Dependent Care FSA enables you to pay with pre-tax dollars for daycare expenses for your children and mentally or physically disabled dependents of any age.

Use the Dependent Care FSA to pay for:

  • Babysitters or companions, including relatives over age 19 whom you do not claim as tax exemptions who care for your dependents so you can work.
  • Education expenses, such as nursery school for children not yet in kindergarten.
  • Daycare expenses for children under 13.

For more details, refer to Wex’s Dependent Care FSA Information Sheet.

Annual contribution$130 min; $5,000 max per household (or $2,500 if you’re married and file separate federal tax returns)
For services incurredJan. 1 - Dec. 31
Claims must be received byMarch 31 of the following year
Unused fundsForfeited

For a complete list of FSA-eligible healthcare and dependent care expenses, review Wex’s eligible expenses chart linked below.

Eligible Expenses

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Using Your FSA Benefits Debit Card

Use your Wex Benefits debit card to pay for eligible services and products. Payments are automatically withdrawn from your account, so there are fewer out-of-pocket costs, and no waiting for reimbursement.

Out-of-Pocket Expense Reimbursements

Submit a request for reimbursement for out-of-pocket expenses where your Wex Benefits debit card was not used. For more details, refer to the Claim Form.

All claims incurred during the time you are eligible in that calendar year must be submitted for reimbursement no later than March 31. For example, if you were eligible for the entire year, from Jan. 1 – Dec. 31, you would have until March 31 of the following year to make sure you have submitted to Wex all prior year claims for reimbursement.

Required Documentation

To show that expenses incurred are eligible, the IRS requires certain purchases made with an FSA to be substantiated.

Be sure to provide substantiation to Wex for any claims you submit to them or use your FSA debit card throughout the year to prove your claim was an eligible expense as defined by the IRS. If you do not provide substantiation, Bloomin’ Brands will be required to deduct the unsubstantiated claim amount from a future paycheck on a post-tax basis.

  • Not every claim will require substantiation.
  • Review Wex’s Employee FSA Guide for details on what purchases require documentation, and how to submit.
  • In addition to more traditional claim submission options (mail and fax), you can enter your claim online and via the Wex Discovery Benefits mobile app available for Apple and Android devices.

If you still have questions, read through Wex’s Substantiation FAQs.

Use-It-or-Lose-It Rule

Don’t forget to spend your FSA dollars. You will forfeit any money left in your account if you have not used all of your FSA dollars before a) the end of the plan year on Dec. 31, b) the date you are no longer eligible for benefits, and/or c) your last day of employment; whichever comes first.

Wex Benefits

Wex Benefits

Flexible Spending Accounts (FSAs) & COBRA Continuation Coverage

Contact Information

Available Monday through Friday from 6 a.m. to 9 p.m. CT.

Phone: 1-866-451-3399
Fax: 1-866-451-3245

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