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HEALTH CARE FLEXIBLE SPENDING ACCOUNT (HCFSA) PROGRAM SAVINGS CALCULATOR FOR PLAN YEAR 2026
- Enter the requested information below to calculate your HCFSA tax savings
- Use the TAB key or mouse to move within the worksheet
- Do not use the ENTER key as a way to navigate through this worksheet or to complete your calculation.
Number of Exemptions Claimed:
Federal
State
City
Tax Status:
Single
Married
Your Gross Annual Income:
$
Are you in the Pension System?
Yes
No
Annual Pension Contribution:
$
Enter Annual Health Insurance Premium:
$
Enter annual contribution to the Health Care Flexible Spending Account Program (maximum $3,400, including annual administrative fee of up to $48):
$
If you participate in the Dependent Care Assistance Program, enter annual contribution (maximum $7,500, including annual administrative fee of up to $48):
$
Enter annual contribution to the TDA Plans for Pretax(457, 401k, 403b), including Deferral Acceleration for Retirement (DAR), if any:
$
Excluding DAR, is your annual contribution to any one of the TDA Plans equal to or more than 7.5% of your gross annual income?
Yes
No
Enter annual After-Tax Deductions (Roth 457, Roth 401k, IRA, MCU,Union Dues,Saving Bonds, Pension Loan, Child Support, etc.):
$
:
HCFSA SAVINGS
With HCFSA
Without HCFSA
YOUR GROSS ANNUAL INCOME:
$
$
P
R
E
T
A
X
Pension
Contribution:
Health
Insurance Premium:
Annual Amount for Health Care Flexible Spending Account Program Expenses:
Health Care Flexible Spending Account Program Administrative Fee:
Dependent
Care Assistance Program Annual Contribution:
Deferred
Compensation Plan Annual Contribution:
ADJUSTED GROSS INCOME:
$
$
Federal
Income Tax:
New
York State Income Tax:
New
York City Income Tax:
FICA
Deduction:
Medicare
Deduction:
After-Tax Cost of Health Care Expenses
After-Tax
Deductions (MCU, Union Dues, Saving Bonds, Pension Loan, Child Support, etc.)
TAKE-HOME PAY
$
$
HCFSA TAX SAVINGS
Please Note: 1) This worksheet provides only estimates of tax information and should not be assumed to be tax advice. Be sure to consult a tax advisor to determine the appropriate tax advice for your financial situation. 2) This worksheet is not intended nor shall be construed as a guarantee of tax savings.
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