Flexible Spending Account Plan (FSA)

Claims for 2008 services. Participants in any of the FSA plans should send reimbursement claims to PayFlex replacing the Benefits Division as claims administrator.

Flexible Spending Accounts (FSAs)

The FSA Accounts are pre-tax savings accounts designed to save you taxes when you pay for certain eligible expenses that are not covered by other benefit plans. With these accounts, you can be reimbursed for expenses with money set aside from your earnings--money that is not subject to federal income or Social Security taxes. This can mean a substantial tax advantage for you. You may make Contributions to:

• Health Care Account for health care expenses (incurred by you and your eligible tax dependents) that are not eligible to be paid by insurance. Available to individuals who enroll in the Premier PPO, Select PPO, HMO Illinois or UniCare HMO plans. Not available to individuals who enroll in the Value PPO plan
- The maximum annual pledge amount is $8,000
- Health Care Account Frequently Asked Questions
- PayFlex FAQs
- Go to listing of eligible and ineligible Health Care Account expenses

 

• Dependent Care Account for dependent care (daycare, elder care) expenses that allow you to work, but NOT for dependent health care expenses.
- The maximum annual pledge amount is $5,000
- FSA Dependent Care Account Frequently Asked Questions
- PayFlex FAQs
- IRS Publication 503: Dependent Care Expenses ( PDF)

 

Limited Use Health FSA for dental and vision services (must enroll in the Value PPO plan and the Health Savings Account - HSA). May also be used for health care expenses after the Value PPO annual deductible has been met.

Summary Plan Description ( PDF)

Summary of plan purpose, eligibility requirements, enrollment procedures, contribution options and limits, University matching funds and reimbursement claim processing procedures and deadlines.

Monthly Contributions

Enrollment and Claims Forms

New faculty and staff may enroll in a FSA online using HRIS Self Service. Enrollment must occur no later than 31 days from the date of hire. The annual pledge amount may not be changed unless an individual has an IRS qualifing change in family or employment status and completed the paper enrollment process within 31 days of the qualifying event. Individual must enroll online during Open Enrollment to continue FSA participation for the next year.

Claim forms for 2008 services may be obtained from PayFlex.

Claims for services incurred during a calendar year must be received by the end of February of the next calendar year. Otherwise, account balances are forfeited.

Protection of Personal Health Information

Benefits Withdrawal Form ( PDF)