Flexible Spending Accounts

For plan summary information, FSA claim forms, and plan regulations please visit Benefit Plan Documents (Flexible Spending Accounts). 

Please note WageWorks is now EZ Receipts, feel free to read more about the change here. 

Health Care FSA and Limited Purpose FSA

The Health Care and Limited Purpose FSA lets you set aside pre-tax money to pay for eligible out-of-pocket health care expenses including medical/prescription drug (Health Care FSA only), dental and vision expenses. Your contributions are deducted from your paychecks evenly throughout the year. However, your full election amount is available in January, so it is there when you need it for eligible health care expenses.

The Limited Purpose FSA is NOT eligible for medical or prescription drug expenses; this account can only be used for dental or vision expenses. This account is intended to accommodate those enrolled in the Maroon Savings Choice Plan.

The Internal Revenue Service (IRS) limits the amount you can contribute to an FSA as shown in the table below.

Eligible expenses qualify for reimbursement provided they meet the criteria of Internal Revenue Service Publication 502 and that you may be able to deduct from your federal income taxes.

The lists below only provides a few examples of eligible and ineligible expenses.  The Health Care FSA plan follows current IRS reimbursement guidelines. See the full list of eligible expenses on HealthEquity's Qualified FSA Expenses website.

Eligible Expenses

You can use your health care FSA to pay for:

• Medical insurance deductibles and copayments.

• Prescription medication.

• Mental health care (psychiatric and psychological) services not covered by insurance.

• Dental expenses not covered by insurance.

• Eye care, including exams, glasses, contact lenses and laser surgery.

• Hearing aids.

• Special education or treatment for a disabled dependent.

Ineligible Expenses

You cannot use a health care FSA to pay for:

• Medical or dental insurance premiums.

• Vitamins, herbal and dietary supplements.

• Marriage counseling fees.

• Health club memberships or physical therapy for general health.

• Cosmetic surgery.

• Long-term care services or premiums.

Reimbursement Options

As a participant you can pay for eligible expense upfront and then submit a written claim for reimbursement or use a HealthEquity(WageWorks) debit card to pay the expense. Supporting documentation of the expense and payment will be required for each reimbursement and debit card transaction. You may submit your health plan's Explanation of Benefits statement or an itemized receipt or bill from the provider that includes the patient's name, a description of the service, and your portion of the charge. For prescriptions you may submit the receipt from your pharmacy, including the patient's name, the Rx number, the name of the drug, and the amount. Credit card receipts and cancelled checks do not meet the requirements for acceptable documentation. If you are not sure whether an expense is covered, contact HealthEquity(WageWorks).

Traditional Paper Claims

When you incur an eligible expense, you pay for the eligible expense up front and then file a claim with HealthEquity(WageWorks). For reimbursement, complete, sign, and return the Request for Reimbursement Form to HealthEquity(WageWorks). You can choose to have eligible health reimbursements either direct deposited into your bank account or mailed to your home address in the form of a check by contacting HealthEquity(WageWorks) directly.

Debit Card Claims

The HealthEquity(WageWorks) debit card allows you to pay for eligible medical, dental, and vision  expenses at the time that you incur the expense. A debit card eliminates the need for you to pay for eligible expenses up front and then submit a claim form for reimbursement.

While using your HealthEquity(WageWorks) debit card offers convenience, please keep receipts for all purchases made with your card. Per IRS regulations, HealthEquity (WageWorks) will require itemized receipts to verify card purchases. The easiest way to submit receipts and supporting documentation is online at HealthEquity(WageWorks). Simply log in, click the Submit a Card Receipt quick link and follow the steps to upload your documentation. You can also send by fax to 877.353.9236 or mail to P.O. Box 14053, Lexington, KY 40512. Remember to always include a completed Return Form. 

Failure to submit proper documentation within 90 days of the transaction date will result in the deactivation of your card. Once your card has been deactivated, you must clear all of the unresolved card transactions to reactivate your card. If you do not provide acceptable documentation or repay the plan for the ineligible transaction within the allotted time frame, any subsequent non-card (paper) claims will be used to resolve the balance due (by reducing the amount of your reimbursement by the amount of the balance due).

Dependent Care FSA

A Dependent Care FSA (Flexible Spending Account) allows you to pay for certain eligible day care expenses using before-tax contributions from your paycheck.

Eligible day care expenses would be for a dependent child or adult relative to allow you or your spouse to work, or while your spouse is a full-time student or disabled.

The Internal Revenue Service (IRS) limits the amount you can contribute to an FSA as shown in the table below.

If you are a Highly Compensated Employee, your dependent care contribution is limited to a lower amount ($1,900 per family).

The lists below only provides a few examples of eligible and ineligible expenses.  The Dependent Care FSA plan intends to follow current IRS reimbursement guidelines.  For a list of eligible expenses visit Eligible DCFSA Expenses on HealthEquity's website. 

What is Covered

Your dependent care expenses must meet the following requirements:

• The care of your Dependent Child or other eligible dependent must be necessary so you can work. If you are married, both you and your spouse must be employed, or your spouse must be a full-time student or disabled, and not available to care for the dependent.

• Care must be for your child who is under age 13 or for an adult you claim as a dependent on your income tax return. A dependent adult may be an elderly parent or spouse who cannot be left alone while you are at work.

• Expenses can be for a caregiver; before-school and after-school care programs, or for a licensed day care center or day camp.

• Your day care provider must have a Social Security number or taxpayer identification number.

• The cost of this care cannot exceed the annual earnings of the lower-paid spouse.

What is Not Covered

You cannot use a Dependent Care FSA to pay for:

• School tuition beginning with kindergarten.

• Overnight summer camp fees.

• Nursing home expenses for an elderly relative.

• Fees paid to someone you claim as a dependent on your or your spouse’s income tax return, such as one of your children.

• Expenses for care provided while you or your spouse are not at work, such as expenses for a baby-sitter while you go out to dinner.

• Fees paid to someone who does not report the money as income.

If you are not sure whether and expense is covered, contact HealthEquity(WageWorks).

Reimbursements

For reimbursement from a dependent care FSA you will need to submit a reimbursement claim form along with appropriate supporting documentation. All dependent care reimbursement requests must include a completed and signed provider certification. If you do not have provider certification, complete the Request for Reimbursement Form and submit an itemized statement from the dependent care provider that includes:

• Start and end dates of service

• Dependent's name and date of birth

• Itemization of charges

• Provider's name, address, and tax ID or Social Security number

Credit card receipts, canceled checks, and balance forward statements do not meet the requirements for acceptable documentation.

The maximum reimbursement you may receive is equal to the current account balance in your dependent care FSA. If your reimbursement request is more than your available balance, the remaining amount will be placed in a pending status. The pended amount will be paid when additional funds are posted to your account.

Enrolling in a Flexible Spending Account

You may enroll in a Health Care, Limited Purpose, or Dependent Care FSA plan:

• Within 31 days following your date of hire or the date you become a Benefits-Eligible Employee by visiting Workday. Enrollments made during the 31-days following your date of hire or the date you became a Benefits-Eligible Employee take effect retroactive to your date of hire or the date you became a Benefits-Eligible Employee.

• If you do not enroll within 31 days, you must wait until Open Enrollment, unless you have a qualifying change in status or special enrollment event. Enrollments made during Open Enrollment take effect as of the following January 1.

• If you are enrolling mid-year as part of a New Hire event, remember that any contributions you made with a previous employer's account counts towards your IRS maximum contribution for the year and reduce your election in our plan accordingly.