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Flexible Spending Accounts

Available to full-time, permanent employees, including temporary faculty members employed for a one-academic-year contract, and permanent part-time employees, including temporary faculty members employed for a one-academic year-contract who work 50 percent of the time.

A Flexible Spending Account (FSA) is an account you set up to pre-fund your anticipated, eligible medical services, medical supplies, and dependent care expenses that are normally not covered by your insurance. You decide how much to contribute annually to your FSA, and the amount is deducted in small, equal amounts during the plan year. FSA funds are deducted before federal and state taxes are calculated on your paycheck, which results in less taxable income.

Medical Reimbursement FSA: This account is used to pay for eligible medical expenses which aren't covered by your insurance or other plan. These expenses can be incurred by yourself or your eligible dependents. Once you sign up for a Medical Reimbursement FSA and decide how much to contribute, the maximum annual amount of reimbursement for eligible health care expenses will be available throughout your period of coverage. The maximum annual contribution amount that can be made to a medical reimbursement account is $2,500. Account balances not used are forfeited.

Dependent Care Reimbursement FSA: This account allows you to pay for eligible dependent care expenses such as after-school care, babysitting fees, day care services, nursery, and preschool. Eligible dependents include your qualifying child under the age of 13, and/or your spouse or a qualifying child or relative who is physically or mentally incapable of self care. Once you sign up for a Dependent Care Reimbursement FSA and decide how much to contribute, the funds available to you depend on the actual funds in your account. Unlike a Medical Reimbursement FSA, the entire maximum annual amount is not available during the plan year, but rather after your payroll deductions are received. The maximum annual contribution amount that can be made to a dependent care reimbursement account depends on your tax filing status. Account balances not used are forfeited.

Flexible Spending Account Open Enrollment for Plan Year 2014:  The open enrollment period for the 2014 plan year runs from November 4 through November 15, 2013.  

2013 Medical Reimbursement Account Reminder:If you were enrolled in the Flexible Spending Account (FSA) program in 2013, remember that the grace period for Medical Reimbursement Account ends on February 28, 2014 and the run-out-period for both the Medical Reimbursement Account and Dependent Care Reimbursement Account ends on March 31, 2014.

The grace period is the period of time that claims can be submitted for expenses incurred during the first two months of the new plan year (2014) and any leftover funds in your account from the prior plan year (2013) can be used for these services. Claims received for the first two months of the new plan year (2014) are automatically applied to any remaining prior year (2013) account balances.

The run-out-period is the period of time you have to submit reimbursements requests for all eligible FSA expenses incurred during the plan year and grace period.

To submit qualified expenses against your 2013 Medical Reimbursement Account you must submit a claim form to WageWorks. Your WageWorks debit card cannot be used to deplete funds in your 2013 Medical Reimbursement Account. Plan year claims and grace period claims must be submitted before the end of the run-out-period. Any funds remaining in your 2013 account after the run-out-period ends on March 31, 2014 will be forfeited.

2014 Flexible Spending Account Reference Guide

WageWorks Website

Quick Start Guide

Mobile Application Information

Medical Reimbursement FSA Summary Plan Description

Dependent Care Reimburement FSA Summary Plan Description

Forms

FSA Enrollment/Status Change Form for Plan Year 2014

Medical Reimbursement Account Claim Form

Dependent Care Reimbursement Account Claim Form

Claim & Card Use Documentation Checklist

Letter of Medical Necessity

FSA claims may be filed online, using the EZ Receipts smartphone application, or by fax or mail. 

WageWorks Claims Administrator

PO Box 14053 
Lexington, KY 40512 
Fax:  (877) 353-9236

WageWorks website

Questions?

If you have questions, please contact WageWorks Customer Care Center at 1-877-924-3967, or the Office of Human Resources at 724-357-2431.

  • Human Resources Office
  • Sutton Hall, Room G8
    1011 South Drive
    Indiana, PA 15705
  • Phone: 724-357-2431
  • Fax: 724-357-2685
  • Office Hours
  • Monday through Friday
  • 8:00 a.m.–4:30 p.m.