Flexible Spending Plan
Flex-Plan Services
(Flexible Spending Accounts)
These accounts permit employees to set money aside
on a pre-tax basis, via payroll deduction, for eligible medical, dental, vision
and certain over-the-counter medicines and supplies, or dependent care expenses
not covered by insurance or other benefit plans. A new enrollment is required
each year, even if you do not plan to change the amount(s) set aside. Except
for a change in status event, the only time you can enroll or change your
flexible spending account is during Annual Enrollment. If a change in status
event occurs, and you desire to make consistent changes to your benefit
elections, you must inform the Employee Benefits Office of your new election
within 30 days of the occurrence. All changes are made
prospectively
from the date that the FSA Administrator receives a properly completed and
signed
Flexible Spending Mid-Year Change form. Failure to submit your request
within 30 days will result in your request being denied regardless of the
reason.
Medical Reimbursement Account (MRA):
The Medical Reimbursement Account allows you to set aside pre-tax money to pay
for out-of-pocket medical related expenses incurred by you or your dependents
that are not paid by your insurance or reimbursed by any other benefit plan.
Reimbursement of expenses for a domestic partner or their children are generally
not allowed, per Federal law. Expenses include, but are not limited to,
insurance co-pays, deductibles, dental or vision expenses, pharmacy bills,
certain over-the counter medicines and supplies, and other similar out-of-pocket
costs. An information sheet, "Examples
of Medical Reimbursement Expenses", is available to provide you with
additional details about the types of expenses that may be reimbursed. An
important IRS exclusion is that treatments, services, and surgeries that are
performed for cosmetic reasons are not reimbursable from a Flexible Spending
Account.
Dependent Care Reimbursement Account (DCRA):
You may set aside pre-tax dollars to pay for qualified childcare or dependent
care expenses that are necessary for you or your spouse (domestic partner is not
included in this definition) to continue working or going to school full time.
Click here for
Dependent Care Tips and Guidelines.
You may set aside up to $2,400 to pay for qualified
medical expenses. You may set aside up to $5,000 ($2,500 if you file separate
tax returns) to pay for qualified dependent care expenses. Please note that
these are separate accounts. you may elect to participate in one or both
accounts. The money in one account cannot be used to pay for expenses related
to the other account. The most important rule is “use it or lose it”. You may
file claims that are incurred on or after your effective date of participation
through March 15th of the following plan year against these
accounts. Any funds you defer that are left over after all eligible claims have
been paid, will be forfeited.
IRS regulations do not permit you to participate in an MRA and
contribute to an Health Savings Account at the same time.
Flex-Plan Services, Inc. is the claims administrator for this
program. Copies of receipts (e.g., itemized bills/proof of expenses) along with
your reimbursement
claim are to be faxed or mailed to the administrator directly.
Summaries
Inquire about the availability of documents in
alternate formats.
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