Benefits Information

 Appealing 2012 FSA Denied Claim:
If a 2012 Flexible Spending Account claim is denied and you want to appeal, you must file your appeal with the 2012 Plan Administrator (Benefit Administration Company) within 60 days after you receive the denial. Your appeal should include any additional information that you want the Plan Administrator to consider. If your appeal is not filed within this 60-day period, you will not be able to appeal your claim. For more information, contact Benefit Administration Company at 206-625-1800, extension 307.

For 2013, the maximum you can contribute to a Health Care Flexible Spending Account (FSA) is $2,500 per employee; for a Dependent Care FSA, it's $5,000 per household.

   • Please contact Flex-Plan Services (FPS) with questions about your 2013 Flexible Spending      Accounts(FSAs), at 800-669-3539, or 425-452-3500. You can also access their Web site:                  flex-plan.com.

By setting up a Flexible Spending Accounts (FSAs), you can set aside pretax dollars to pay for expenses not otherwise covered. A Dependent Care FSA can pay for eligible dependent care (day care) expenses for your child, disabled spouse or dependent parent while you and your spouse work. A Health Care FSA can help pay for expenses not covered by your health plans, such as deductibles, copays, coinsurance, and services such as orthodontia that exceed the plan maximum.

In 2013, the maximum you can contribute to a Health Care Flexible Spending Account (FSA) is $2,500 per employee; for a Dependent Care FSA, it’s $5,000 per household. You can enroll in FSAs as a new employee or every year during Open Enrollment.

See a recorded presentation for more general FSA information, or review a copy of the FSA Welcome Kit.

Significant features of FSAs:

• You do not pay federal or social security taxes on funds you put in these accounts. As a result, your taxable income is reduced and your taxes are lower.
• The tradeoff for the lower taxes is -- if you don't use up all the funds during the year, you will lose any amounts remaining in the account at year-end.
• Your FSA choices DO NOT roll over from one year to the next; you must re-enroll each year during Open Enrollment to have an account the following year.

To understand how FSAs work, see:

• The 2013 FSA Plan Guide - an easy-to-read employee guide
• The Flexible Benefits Plan Document -- the official documentation of the Plan
• The Flexible Benefits Plan Summary Plan Description (SPD) - a user-friendly companion to the Plan document.
• The Health Care FSA FAQs

Because of the pretax benefit, FSAs are governed by the Internal Revenue Service Code. For details on current rules, see the following documents posted on www.irs.gov:

• Publication 502: Medical and Dental Expenses
• Publication 503: Child and Dependent Care Expenses
• Publication 969: Health Savings Accounts and Other Tax-Favored Health Plans

As you incur eligible expenses in 2013, submit your reimbursement request form to Flex-Plan Services, the plan administrator. Include a copy of an itemized bill(s) or receipt(s) with the completed reimbursement form. Completed requests for reimbursements may be mailed, faxed or uploaded through the Flex-Plan Services website.

Requests for reimbursement will be processed as they are received by Flex-Plan Services. To request that your reimbursements be deposited directly into your bank account, submit the Benny Card and/or Direct Deposit Authorization form to Flex-Plan Services with the requested information. Your final request for reimbursement MUST be received by Flex-Plan Services no later than March 31 of the following year.

Contact information for Flex-Plan Services:

Mail: Flex-Plan Services, Inc.
PO Box 53250
Bellevue, WA 98015-3250

Phone: 425-452-3500 or 1-800-669-FLEX

Fax: 425-451-7002 or 1-866-535-9227

Website: www.flex-plan.com

View your Flexible Spending account balance after setting up your online account through Flex-Plan Services' web site:

• Call FPS to provide the email address you want to use for identification and communication
• Go to www.flex-plan.com
• Select the "Participant" link to direct you to the participant information page.
• Select "Register with Flex-Plan.com".
• Enter your last name, first initial.
• Enter your email address.
• Enter the Company Code: CS1
• Choose a User Name
• Enter your date of birth.

Do not forget to review and accept the Terms and Conditions. Shortly after registering for online access, you will receive an email confirmation with a temporary password.

Phone: 425-452-3500 or 1-800-669-FLEX

Fax: 425-451-7002 or 1-866-535-9227

Email: claims@flex-plan.com

Mail: Flex-Plan Services, Inc.
PO Box 53250
Bellevue, WA 98015-3250

The health care flexible spending account debit card, or "Benny Card", enables you to pay for eligible health expenses directly from your health FSA so you don't have to wait for reimbursement. You must still retain your receipts -- in some cases, you will need to provide receipts to substantiate that you have used your card for an eligible expense. Flex-Plan Services will notify you if a receipt is required. You can check your claims on your online account (see above) to see if a receipt is needed.

See Benny Card - Employee Overview. Request a debit card by completing the Benny Card/Direct Deposit Authorization Form. Send the form to Flex Plan Services at:

Fax: 425-451-7002
866-535-9227

Mail: Flex-Plan Services, Inc.
PO Box 53250
Bellevue, WA 98015-3250

Page: http://www.seattle.gov/personnel/benefits/optional/flexible.asp
Printed: 5/19/2013 4:43AM