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FSA Estimated Expense Calculator

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Dental Expenses
$
$
$
$

Subtotal:

$0.00

Vision Care Expenses
$
$
$

Subtotal:

$0.00

Medical Expenses
$
$
$
$
$
$

Subtotal:

$0.00

Total Estimated Health Care Expenses:

$0.00

Dependent Care FSA ($5000.00 max)
$
$
$
$
$
$
$

Subtotal:

$0.00

Total Estimated Dependent Care Expenses:

$0.00

Estimated Savings

Annual Income With FSA:

$0.00

Annual Income Without FSA:

$0.00

Health Expenses With FSA:

$0.00

Health Expenses Without FSA:

$0.00

Dependent Care Expense With FSA:

$0.00

Dependent Care Expense Without FSA:

$0.00

Taxable Income With FSA:

$0.00

Taxable Income Without FSA:

$0.00

Tax Savings With FSA:

$0.00

Tax Savings Without FSA:

$0.00

This calculator estimates 22% Federal Tax Rate, 7.65% FICA, and 4% State Tax Rate. Your actual savings may vary depending on your own circumstances.

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