Flexible Spending Accounts (FSAs)
What is an FSA?
FSAs allow you to pay for many medical or dependent care expenses with pre-tax dollars!
To learn more about FSAs, try this site, or Wikipedia's overview, or any number of resources you can find with a basic Google search.
Why choose to participate in an FSA?
By paying for your medical or dependent care expenses with pre-tax dollars, you save on Federal, State, and Social Security taxes. You can save $25 or more for every $100 you set aside.
Savings will vary for each participant depending on variable information such as marital status, number of exemptions, and marginal tax bracket. Consult with your tax advisor to determine your actual potential savings. Put More Money in Your Wallet
How does our FSA work?
This program is sponsored by the Arizona Board of Regents (ABOR) which oversees the three state universities. For a comprehensive plan description, click here.
You decide how much to contribute to the account for the entire plan year (January 1 - December 31). There are two accounts available to employees, the Health Care FSA and the Dependent Care FSA. The annual maximum is $5,000 for either account and whatever amount you elect for 2012 is deducted from your paychecks pre-tax in equal amounts over the course of the 2012 plan year. Expenses MUST be incurred during the plan year to be eligible for reimbursement. This is also a "use it or lose it" program - Any unused funds remaining in your account at year end will be forfeited.
Note: The IRS does NOT recognize a same sex domestic partner for tax purposes. Expenses of a Qualified Domestic Partner do NOT generally qualify for the Health Care FSA unless they qualify as a dependent under the definition of a "qualifying relative."
In order for an individual to be considered a “qualifying relative,” he or she must: Be a blood relative or share the same primary residence with the taxpayer if not a blood relative. Receive over half of his/her support from the taxpayer; Be a U.S. citizen or national or a resident of the United States, Canada or Mexico.
If you have a domestic partner who qualifies as a tax dependent, please notify ASIFlex in writing of your situation and your account will be reviewed for eligibility.
Information About the Debit Card Option ($12/year, deducted from your annual pledge amount)
What's the difference between an FSA and an HSA?
Click here for an answer!
When am I eligible for FSA to begin?
FSA contributions and participation begins the first day of the pay period following any benefits waiting period.
If you are a current employee, and wish to enroll in an FSA, you must do so each year during open enrollment. The FSA will become active on January 1st of the next calendar year.
For current employees who experience a qualified life event (QLE), FSAs become effective the first day of the month following benefit change submissions. Thus, for changes in this benefit to take effect as quickly as possible, you are encouraged to submit your QLE-related benefit changes at the earliest possible opportunity following the QLE date. (See the Qualified Life Event page for more information)
Can I make changes to my pledged amount, or add or drop-out of the FSA program mid-year?
The IRS rules that allow mid-year changes in a Health Care FSA are much more restrictive that otherwise permitted for enrollment under a pre-tax health insurance plan or a Dependent Care FSA. While you may be allowed to make changes to other coverage options under some of the situations listed below, changes to your Health Care FSA are not permissible if:
- You move inside or outside of an HMO service area and change your health insurance option.
- Your annual earnings decrease due to a change in your appointment percentage or other job change, and you still remain eligible to participate in the University's Health Care FSA.
- Your anticipated health/dental/visions costs increase or decrease due to unanticipated factors. Some examples include the following situations:
- You funded your FSA with an expectation of having LASIK eye surgery and were advised you were not a good candidate for surgery.
- You funded your FSA with an expectation of having extensive dental work done. Schedule issues by your dentist's office resulted in the needed work to be carried over several months, and all of the work could not be completed before the end of the plan year.
- You funded your FSA with an expectation of having limited out-of-pocket expenses for the year. Midway through the year, your dependent required outpatient mental health treatment that was only partially covered by your health plan, resulting in significant out-of-pocket expenses.
- You funded your FSA with an expectation of continued use of a particular prescription drug at a fixed co-pay, amount. Your physician determined it was necessary to change the medication to a drug with a higher co-pay, or your condition improved and you no longer needed to take the drug.
These are but a few examples, but they share one common theme the IRS has ruled on: The employee's intent when signing up for a Health Care FSA is not relevant. The Health Care FSA remains available to reimburse out-of-pocket medical expenses and a mid-year change is not allowed under these circumstances. Please keep this in mind when deciding how much to contribute to a Health Care FSA. You forfeit any contributions you cannot claim.
The table below lists permissible events that allow you to make a mid-year change in your Health Care FSA and the corresponding election change that may be made. You must contact the HR/Payroll Service Center within 30 days of the event and be prepared to provide documentation of the change upon request.
| Change in Status Event | Changes You May Make to Your Health Care FSA |
|---|---|
|
Change in Your Legal Marital Status (marriage; death of spouse; divorce; or annulment) |
|
|
Change in Number of Your Tax Dependents (birth; death; adoption; or placement for adoption) |
|
|
Changes in Employment Status that affect eligibility of the employee, the employee's spouse, or the employee's dependent (termination or commencement of employment; strike or lockout; commencement of or return from an unpaid leave of absence) |
|
| Dependent satisfies or ceases to satisfy eligibility requirements (gain or loss of dependent status as defined by IRC Section 152) |
|
| Certain Judgments, decrees, or court orders |
If a judgment, decree, or court order from a divorce, legal separation, annulment, or change in legal custody requires that accident or health coverage for your dependent child (including a dependent foster child) be provided by:
|
| Eligibility for Medicare and Medicaid |
If you, your spouse, or your dependent:
|
Plan Adminstrator - ASI
ASI is the plan administrator of the FSA's. For specific questions about your FSA, please contact ASI.
Much more information on eligible expenses, claim forms, required documentation, and more is available on the ASI web site.
Phone: (800) 659-3035
Email: asi@asiflex.com
What if I leave NAU in the middle of the plan year, and want to continue with my FSA?
See this information on FSA COBRA Continuation of Coverage
