Skip Navigation LinksHome << Human Resources << Employee Benefits << FSA Medical
  
Health Plans | COBRA | Dental Plan | FSA | Group Term Life | HIPAA | HMO | Long Term Disability | Post Retirement | PPO | 403b | Section 125c | Vision Plan | Voluntary Insurance

Flexible Spending Accounts

Flexible Spending Accounts (FSA’s) are tax advantaged accounts as defined under the Section 125 Cafeteria Plan. An FSA allows employees to set aside a portion of their earnings, prior to Federal, State and FICA taxes, to pay for qualified medical and dependent care costs. The maximum you may elect towards each account is $5,000 calendar per year. Please note that FSA’s are subject IRS rules and guidelines. Employees electing a Medical Flexible Spending Account in a calendar year are allowed to incur expenses up to March 15th of the following year. All claims must be submitted for reimbursement no later than March 31st. Employee that elect a Dependent Care Flexible Spending Account in a calendar year must incur and use the money by December 31st of the year the election is made. Money not used or claimed within the allocated time is lost per IRS rule (Use It or Loose It).

  • Healthcare (Medical) Flexible Spending Accounts
    Money set aside in this account may be used to pay for medical expenses not paid for by insurance such as deductibles, co-payments and coinsurance amounts. Employees may also use the money to pay expenses not paid by insurance such as vision and dental services and even some over the counter medicines. The money may not be used to pay health insurance premiums, cosmetic surgery, cosmetic items or items that improve “general health”. IRS publication 502 outlines the guidelines of allowable expenses. (http://www.irs.gov/)
         
  • Whose expenses are eligible under a Healthcare FSA?
    A spouse, child or anyone you claim on your Federal income taxes even if the person is not under your health insurance coverage. As long as the person is qualified dependent for income tax purposes, the expenses qualify for a tax break.
     
  • How are funds withdrawn or claims reimbursed?
    The employees are issued a debit card to access the FSA money directly or a paper claim may be filed. Please note that IRS requires supporting documentation to substantiate the charges when you use the debit card or file a claim. This means itemized receipts and/or copies of the insurance company’s explanation of benefits must be submitted to the FSA Administrator.
      
  • Dependent Care Flexible Spending Accounts
    Money set aside on this account may be used to pay for care of a dependent while you work and for your spouse to work (if you are married). Most commonly this means for child care but it also can be used for adult day care for an incapacitated adult that lives with you. The care can be provided in your home, in someone else’s home or in a dependent care center as long as the caregiver is not your dependent.
       
  • Do all dependent care expenses qualify?
    No, qualified dependents are those you claim as exceptions on your Federal income taxes, including:
         
    • Children under age 13
    • A disabled spouse
    • Or a person, of any age, who is unable to take care of themselves, and who spends at least 8 hours a day in your home.

Note: You may only be reimbursed up to the amount that you have contributed to the Dependent Care Account at the time of claim.

Beyond Benefits, Inc. is the Administrator for the Medical and Dependent Care Flexible Spending Accounts (FSA)

Call Customer Service if you have questions regarding your FSA account at: 1-877-384-7539

Fax claims to the following toll free number: 1-877-239-6635

To check your account balance, review claims or download a Beyond Benefits claim form online go to: www.fsaconnection.com you will be asked to enter your social security number and a pin number which is the last four digits of your social security number.

Beyond Benefits Claim Form (.pdf)

Beyond Benefits Card Request Form (.pdf)

Spacer