Lifestyle spending accounts

An employer-funded account you can spend on a wide range of personal health and wellness expenses; the funds are generally taxable income to you.

Reviewed by Kyle Garrett, licensed insurance advisorLast reviewed October 2026. How we write

“Lifestyle spending accounts” (LSAs) are employer-funded accounts that provide employees with a flexible benefit to spend on a wide range of personal health and wellness expenses. Unlike traditional health benefits that are often limited to specific medical costs, LSAs offer a broader scope of eligible expenses, allowing employees to use the funds for activities and services that contribute to their overall well-being and quality of life. The exact nature of what can be covered by an LSA varies by employer, but they typically include expenses not covered by standard health insurance plans.

Key features of lifestyle spending accounts include:

  • Flexibility

    LSAs offer employees the flexibility to choose how they spend their allocated funds, catering to a wide variety of lifestyle and wellness needs that can include fitness memberships, wellness programs, personal development courses, and sometimes even travel.

  • Employer-funded

    These accounts are funded entirely by the employer, with a set amount of money allocated to each employee for a specified period, usually annually.

  • Tax implications

    Funds allocated to an LSA are generally taxable as income to the employee.

  • Wellness focus

    The primary goal of LSAs is to encourage employees to invest in their health and personal well-being, recognizing that wellness extends beyond traditional medical care to include mental health, fitness, and personal growth.

  • Customizable

    Employers can customize the scope of expenses covered by LSAs to align with their corporate wellness philosophy and goals, making it a versatile tool for enhancing employee benefits packages.

  • Flexible use of funds

    Similar to some other benefit accounts, LSAs often operate on a “use it or lose it” basis, where unused funds at the end of the benefit period do not roll over to the next period, but can also be configured on a “credit carry over” basis so that unused funds can be consumed by the employee in the following year.

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