FSA
FSA Plans
Plan Effective Date: 1/1/2020 – 12/31/2020
Our Flexible Spending Account (FSA) Plan allows eligible employees to pay for certain IRS qualified expenses using pre-tax dollars. You may elect to participate in one or both of the following FSA programs: Health Care FSA (HFSA), Limited Purpose FSA (LFSA) or Dependent Day Care FSA (DFSA). The FSA Participant Handbook provides additional details about these plans on pages 13-14.
Eligible Expenses
Click here for a list examples of eligible & ineligible HFSA expenses.
Please note: if you are enrolled in the Health/Silver plan or Health/Bronze, you can elect the LFSA and/or DCA only. The HFSA plan is not available. You are, however, eligible for an HSA plan to cover eligible medical expenses, as well as a LFSA for medically necessary dental and vision expenses.
Contribution Information & Remaining Balance Details
The maximum contribution to a HFSA and LFSA is $2,750 per plan year.
The maximum contribution to a DFSA is $5,000 per plan year ($2,500 if you are married and filing separately).
Remaining balances at the end of the plan year for FSA, LFSA, and DCA are subject to a 75 day grace period, followed by a 90 day run out. This allows participants an additional 75 days in the new plan year to incur new DFSA expenses; and an additional 90 days to submit claims from within the plan year and grace period.
Additional Information
To view your claims, elections and balances, click on Claims Connection and log into your account.
If you are enrolled in one of the above FSAs and wish to have your reimbursement direct deposited to your bank account, please complete the FSA direct deposit form along with a voided copy of a check.
For more information on what would happen to your FSA should you terminate employment, please see the Benemax Benefit Guide.
What if I have a question?
Please call a Benemax Independent Member Advocate at 800-528-1530 if you have any questions.