Salt Lake County
Flexible Spending Account
The Basics
• Claims Administrator:
– National Benefit Services, LLC
– Effective April 1, 2013
• Benefits:
– Full FSA, Limited (LP) FSA, & Dependent Care Account
– DAILY reimbursements
– User friendly website
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Flexible Spending Account (FSA) Options
• Full FSA- only if you don’t participant in the
HSA.
– Allows you to use pre-tax dollars to pay for out-ofpocket health care expenses
• Limited FSA- Dental & Vision expenses only.
– This is if you participate in the HSA
• Dependent Care Account
– Allows you to use pre-tax dollars to pay for daycare
expenses while you and your spouse are at work (for
your children who are under the age of 13 receiving daycare services).
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Maximum Annual Limits
• Health Care Spending Account
– FSA Maximum Annual Limit is $2,500
-Limited FSA Maximum Annual Limit is $2,500
(Due to Health Care Reform Act)
• Dependent Care Spending Account
– Maximum Annual Limit is $5,000 per year, or
$2,500 if married and filing separately.
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Eligible Expenses
FULL FSA
LP FSA
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Medical, Dental, Vision co-pays and
deductibles
Prescriptions
Birth Control Pills
Eye Glasses, Contact Lenses
Dental Work, including orthodontia
Chiropractor
Laser Eye Surgery
Over the Counter Drugs
(Effective 2011, prescription from Doctor needed.)
Eye Glasses, Contact Lenses
Dental Work, including orthodontia
Laser Eye Surgery
Eye Exams
Dependent Care
(For care of your child/children under the age of 13
while you and your spouse are working)
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Daycare
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Nanny/AuPair
There are many additional eligible expenses.
Please visit www.IRS.gov for more information.
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Expenses NOT Covered
• Cosmetic Surgery/Procedures
• Vitamins
(Unless prescribed by a doctor for the treatment of a specific medical condition)
• Massage Therapy
• Teeth Whitening
• Over-the-Counter Drugs and Medicines
(Effective 2011, without prescription from Doctor.)
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How Does it Work?
1.
During Open Enrollment, enroll in FSA and elect your
annual amount based on your estimated 2013 Health
Care and Dependent Care expenses.
2.
Once you incur eligible expenses, you may seek
reimbursement from your FSA Account.
3.
File claim form to NBS.
4.
Receive reimbursement as a direct deposit into your
bank account or receive a check via mail to your home.
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Utilizing your FSA
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Use your NBS Visa Debit Card at the time of service or
fill out a claim form and submit for reimbursement
You may receive a notice from NBS requesting you
send in documentation that shows:
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Date of Service
Type of Service
Amount of Bill AFTER insurance has been paid
Copy of the Explanation of Benefits (EOB) from the
carrier
Why am I getting this notice?
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Obtaining Account Information
• Online Account Information: www.NBSbenefits.com
• Customer Service (7 AM – 5 PM , Monday - Friday): (800) 274-0503
(After hours, the Automated Voice Response Unit will be available.)
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Change of Status
• Due to IRS regulations, you cannot change your election
amount up or down throughout the course of the plan
year, unless you experience a “change of status”
(Marriage Change, Employment Change, Dependent
Change).
• If you experience one of these changes, contact your
HR to get your account updated.
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Plan Year
• Plan Year
 April 1st – March 31st
• Grace Period
 April 1st – June 15th
(Able to incur expenses toward prior year’s FSA Account Balance)
• Claims Run-out
 June 30th (Deadline to file claims against your FSA for service incurred
before June 15th)
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Why Participate
SAVE ON TAXES!
Your contributions to your FSA and/or Dependent Care Spending
Accounts are deducted from your pay BEFORE taxes are withheld.
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Questions?
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