2026 Open Enrollment (Nov. 3-17, 2025) For 2026, you must actively enroll to participate in a Dependent Daycare Flexible Spending Account (FSA) and Piedmont’s PTO Cash-In program. Plus, you must must provide Social Security numbers (SSNs) for all dependents who are missing this information before the end of 2025 to avoid medical coverage termination on Dec. 31, 2025.
Beginning Jan. 1, 2026, Lively, a new benefits partner, will administer our Health Savings Accounts (HSAs) and Dependent Day Care Flexible Spending Accounts (FSAs); this will include the ability to use your Lively debit card for dependent day care claims. If you elect to participate in an HSA and Dependent Day Care FSA, you will receive one card.Welcome packets will be sent following enrollment in a FSA or HSA to your personal email address on file in PeopleSoft ESS. Be sure to confirm you have a valid email address on file to ensure delivery.
A Flexible Spending Account (FSA) saves you money by allowing you to set aside pre-tax dollars from your bi-weekly paycheck to help pay for eligible expenses.
Because you’re eligible for the Piedmont HDHP with HSA, you will not be able to contribute to a Health Care Flexible Spending Account (FSA) due to IRS regulations; you can still contribute to a Dependent Day Care FSA. Although you can’t participate in a Health Care FSA, there are many of the same tax advantages when you participate in an HSA. If enrolled, an HSA with Lively will automatically be opened for you, unless you opt out.
If you are newly eligible for the Piedmont HDHP with HSA and have funds remaining in an existing Health Care FSA, you must spend down your balance before your HSA becomes effective to avoid forfeiting any remaining Health Care FSA dollars.
Eligibility and uses:
Even if you do not enroll in the MyHealth360 medical plan, or if your dependents are not enrolled, you can still open a Dependent Day Care FSA to pay for your family’s eligible expenses.
A Dependent Day Care FSA is used to pay for qualified child, adult or disabled dependent day care services so you can work. Your Dependent Day Care FSA cannot be used to pay for dependent medical expenses.
Contribution limits:
For 2026, the Dependent Day Care FSA minimum contribution is $100 and the maximum contribution is $7,500 (a 50% increase from last year). Unused Dependent Day Care FSA funds do not roll over.
Under IRS guidelines, pre-tax contributions are deducted evenly from 26, bi-weekly paychecks, but you can only be reimbursed for the amount you already contributed to your account.
When filing your taxes, you may use the Dependent Day Care FSA, the federal tax credit or a combination of both. You may want to consult a tax advisor.
Please note: If you are a highly compensated team member (as defined in IRS guidance), your contributions may be further limited by the Plan’s annual nondiscrimination testing. If you make a Dependent Day Care FSA election that surpasses the IRS limit, you will be notified by the Benefits Department regarding any required adjustment.
Payments, reimbursements and account balances:
Use the Lively debit card (linked to your Dependent Day Care FSA) to pay for qualified expenses for you and your eligible dependents.
At the end of each calendar year, there is a runout period until March 1 to submit prior year FSA claims. After March 1, any unused Dependent Day Care FSA dollars will be forfeited, in accordance with IRS rules.
Visit Lively or download the mobile app to submit FSA claims and check account balances.
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Most Piedmont Locations (team members in Atlanta, Athens, Augusta, Cartersville, Columbus, Eastside, Fayette, Henry, Macon, Mountainside, Newnan, Newton, Rockdale, Walton, System Support Services and Physician Enterprise [Piedmont Clinic, PHI and PMCC])
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Bulk transfer from HealthEquity to Lively begins January 2026.
HealthEquity accounts incur a $3.95 monthly fee starting March 2026 if not transferred to Lively.
Key Dates:
Last day to use HealthEquity card: Feb. 13, 2026
Transfer blackout: Feb. 17, 2026
Lively funds available: March 1, 2026
How much should I contribute?
For 2026, any eligible dependent day care purchases you make between January 1, 2026, and December 31, 2026, are reimbursable.
At the end of each calendar year, there is a runout period from early in the year to March 1 to request FSA reimbursement for expenses incurred during the prior calendar year.
Legal / Disclaimer
This website is not inclusive of all situations and is provided for informational purposes only. It is not intended to be an official legal document. If there are conflicts between the website and IRS regulations, the member handbook, or the Summary Plan Description (SPD), IRS regulations, the member handbook, and the SPD will govern.