What are Flexible Spending Accounts?
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NYU's Flexible Spending Accounts (FSAs), administered by UnitedHealthcare, allow you to set aside money
on a pre-tax basis, to pay for eligible health care or dependent care expenses.
There are two different types of FSAs:
- Health Care FSA: used to reimburse out-of-pocket medical expenses for you, your
spouse/registered domestic partner, or eligible dependent.
- Dependent Care FSA: used to reimburse expenses related to the care of eligible dependents in
order for you and your spouse (if you are married) to work. You are also eligible to use the account if
your spouse is a full-time student, is disabled, or is actively seeking work. Note: Health care
(medical) expenses for a dependent are not reimbursable from a Dependent Care FSA.
The amount you set aside is placed in the type of account (health care or dependent care) that you choose to open. You can then reimburse yourself for eligible expenses you incur during the calendar year, up to the
lesser of the amount deducted from your paycheck or the allowable maximum.
Keep in mind that contributions for an FSA are taken out of your paycheck before taxes are applied,
reducing your taxable income and your take-home pay.
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What expenses are eligible for tax-free
reimbursement from a Health Care FSA?
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The Health Care FSA can be used for out-of-pocket health care expenses incurred by you, your
spouse/registered domestic partner, or eligible dependents.
To be eligible for tax-free reimbursement from your Health Care FSA, expenses cannot be covered by any
other benefit plan. In general, expenses that are eligible for reimbursement are medical, dental, and vision
expenses incurred for the diagnosis, treatment, cure or prevention of disease, a physical or mental condition, or an injury.
Examples of ineligible expenses: Any amount that is eligible for reimbursement from another source, such as other
insurance or Medicare; expenses for which you take an itemized deduction on your federal income tax return;
personal care items, cosmetic services and supplies, including hair transplants, cosmetic orthodontia,
liposuction, or other cosmetic surgery; weight reduction programs for general health; marriage/family
counseling.
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What expenses are eligible for tax-free
reimbursement from a Dependent Care FSA?
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The Dependent Care FSA can be used to pay for eligible daycare expenses for a dependent, in order for you
and your spouse (if you are married) to work. You are also eligible to use the account if your spouse is a
full-time student, is disabled, or is actively seeking work.
Examples of eligible expenses include: Care at a day care center with six or more children that meets state and local
regulations, babysitters (over age 19), nursery school expenses for the care of a child under age six, and
before- and after-school programs.
You also can use the dependent care spending account for eldercare, provided you are responsible for at
least 50-percent of the support of the elderly parent, or any person living with you, who is physically or
mentally incapable of self-care and this person is noted on your income tax statements as a legal dependent.
Examples of ineligible expenses: Educational expenses (kindergarten or higher), overnight camp, round-the-clock nursing home care, transportation to and from a dependent care location, services provided by your spouse or a person you claim
as a dependent on your income tax return, and expenses that are not work-related.
Note: Health Care (medical) expenses for a
dependent are not reimbursable from a Dependent Care FSA.
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When can I enroll in an FSA?
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Each fall, during the designated Open Enrollment Period, you will have an opportunity to enroll in a
Health Care FSA and/or a Dependent Care FSA. FSA elections made during Open Enrollment become effective on
January 1 of the following year.
Flexible Spending Account (FSA) elections do not "roll over" from year to year. Therefore, if you want to
participate, you must make a new election for your FSA every year, even if you want to contribute the same
amount.
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Can I change my election
or stop contributing money to my FSA at any time during the year?
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Federal regulations state that once you have designated the contribution amount, you cannot change your
decision during the year, unless you experience a qualifying life event.
Examples of qualifying life events are: birth or adoption of a child; marriage; establishing a domestic
partnership; divorce; ending a domestic partnership; disability; death; you or your spouse/domestic partner
gains or loses a job or stops working.
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At the end of the year, if there is unused
money in my FSA, do I get to keep it?
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No. According to the IRS's "Use It or Lose It" rule, you must use all funds you contribute to your
FSA each year. However, there is a grace period that allows you to use up unclaimed funds during the first
3 months of the following plan year. For example, if you were enrolled in a Flexible Spending Account (FSA)
in 2007, and you had unclaimed funds at year end, IRS regulations allow you to use any remaining 2007
contributions for eligible expenses incurred from January 1, 2008 through March 15, 2008.
You can make the most of your FSA by carefully planning your yearly expenses, based on your claims
history and expected expenses for the coming year. If you are unsure of how much to save, be
conservative.
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Can I transfer money from my Dependent
Care FSA to my Health Care FSA, or vice versa?
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No. The Health Care FSA and the Dependent Care FSA are two separate plans. IRS regulations do not allow
you to transfer money between these two accounts.
If you are unsure of how much to save, be conservative.
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How do I get reimbursed from my FSA?
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In order to receive reimbursement from your FSA, you must submit a claim. You must also submit a receipt
for each expense for which you are submitting a claim. Remember, you must submit your claims before the
filing deadlines in order to be reimbursed. After that, any unclaimed balance will be permanently
forfeited.
According to IRS guidelines, a qualified expense is "incurred" at the time the service is provided, not
when you are billed or when you actually pay for the service. This is important to note when filing claims
at the end of a calendar year.
If you have direct deposit of your NYU paycheck, your FSA claims will be reimbursed through direct
deposit. Once your FSA claim has been processed, the reimbursement will be deposited directly into the same
bank account that is used for your paycheck, and you will receive the Explanation of Benefits (EOB) as you
do now. If you do not have direct deposit of your NYU paycheck, you'll receive your FSA reimbursement in a
separate check from UnitedHealthcare.
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When can I get a reimbursement from my
FSA?
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You may file a claim for reimbursement as soon as you have "incurred" a qualified expense. Out-of-pocket
expenses under the UnitedHealthcare Point-of-Service (POS) Plans, the Caremark Prescription benefit, and the
NYU Dental Assistance Plan administered by MetLife will be automatically submitted to your FSA for
reimbursement.
Remember that according to IRS guidelines, a qualified expense is "incurred" at the time the service is
provided, not when you are billed or when you actually pay for the service. This is important to note when
filing claims at the end of a calendar year.
- For Health Care FSA Expenses: When you submit an FSA claim for health care expenses, you will
be reimbursed for your claim, up to the full amount of your annual election, regardless of the amount of
money that has been deposited into your account.
- For Dependent FSA Expenses: You can reimburse yourself on a monthly basis for dependent care
expenses incurred during the calendar year, up to the amount available in your account. If you submit a
claim for more than the balance in your FSA, you will only be reimbursed for the amount of money
available in your account at that time. The remainder of your claim will be held for reimbursement once
future contributions are deposited into your account.
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What are the filing deadlines for the FSA
accounts?
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If you had unclaimed funds at year end, IRS regulations allow you to claim expenses incurred from January
1 through March 15 of the following year from your prior year's FSA account.
The deadline for submitting claims for your prior year's FSA expenses to UnitedHealthcare is June 30.
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How does auto rollover work with my FSA
account?
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If you have elected to participate in the Health Care FSA, your reimbursable, out-of-pocket expenses
under the UnitedHealthcare Point-of-Service (POS) Plans, the Caremark Prescription benefit, and the NYU
Dental Assistance Plan administered by MetLife will be automatically submitted to your FSA for
reimbursement. This process is performed by an automatic, electronic data interface between
UnitedHealthcare, MetLife, and Caremark. This reduces the need for you to submit manual paper claims.
Claims for other eligible health care expenses (e.g., vision care, Aetna, Oxford, or HIP copayments) and
Dependent Care FSA expenses will still need to be submitted by using a claim form.
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What is a "Pended Claim"?
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At times, a medical or dental claim might not be processed. The claim could be "pended" for additional
information, either from you or from the provider of services. If a claim is pended, it won't roll over to
your FSA until it is fully processed and the amount of the charges that you are responsible for is
determined.
It is very important to review your FSA account periodically to determine whether all of your medical,
dental, and prescription drug claims have been processed. If any of your claims are pended, you need to be
sure to take any additional steps required to properly resolve your claim.
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