| Human Resources |
Benefits:
Income
Flexible Spending Accounts
Flex Facts Q & A's |
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Why is the City of Kettering offering this option? |
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| A: |
Offering Flexible Spending Accounts will let employees take advantage of tax-effective opportunities allowed by current tax laws and regulations. Money put in a Flexible Spending Account is free from federal and state and local taxes and Medicare contributions.
Let’s say you need to buy a pair of glasses that cost $85. If you are in a 15 percent tax bracket, you must earn $100 pre-tax to receive $85 in take home pay. However, if you set aside money in a Flexible Spending Account for the glasses, you only use $85, not $100, since no tax will be deducted from the amount set aside.
There are three types of accounts: 1) Health Care, 2) Dependent Care, and 3) Premium Only Plan. The Health Care plan allows you to pay for vision, dental and post-deductible medical expenses. The Dependent Care Account
may be used to pay for dependent care expenses that enable you and your spouse to work. The Premium Only Plan allows employees who are required to pay a portion of their medical or dental insurance premium, to do so on a pre-tax basis. Note that If you elect to participate in the City's medical or dental insurance plan, you automatically will participate in the Premium Only Plan.
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| Q: |
Does the change in the City's Insurance affect the Health Care Flex Savings Account program? |
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Yes, because a Health Savings Account and a Flex Savings Account are mutually exclusive by IRS laws.
Your Health Care Reimbursement Account choices are:
Type 1: Full-Family General Purpose FSA: Elect a General Purpose FSA if neither you nor your spouse have a Health Savings Account (HSA). A General Purpose Health Care Reimbursement Account automatically covers you and all of your dependents for reimbursement of out-of-pocket medical, vision and dental expenses.
Type 2: Partial-Family General Purpose FSA: Elect a Partial-Family General Purpose FSA where your spouse contributes to a Health Savings Account (HSA). A Partial-Family General Purpose FSA lets you elect benefits for all members of your family EXCEPT your spouse so that the spouse to continue participating in an HSA. A Partial-Family General Purpose FSA enables you to pay for out-of-pocket medical, vision and dental expenses for yourself and/or your children, but not for your spouse who is covered by an HSA. When electing a Partial-Family General Purpose FSA, you may NOT submit expenses for your spouse.
Type 3: Full-Family Limited Purpose FSA: Elect a Limited Purpose FSA if you and/or your spouse contributes to a Health Savings Account (HSA). As permitted by IRS rules, you may use a Limited Purpose FSA to pay for vision, dental and post-deductible medical expenses only and continue to maintain your eligibility to contribute to an HSA.
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| Q: |
I am covered by the City’s HDHP and have an HSA and would also like to enroll in the City FSA, but I am unsure what expenses can be claimed? |
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| A: |
You may use a Limited FSA to pay for expected Vision and Dental expenses only. |
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| Q: |
I am covered by the City’s High Deductible Health Plan and have a Health Savings Account but my spouse has a PPO with flat dollar co-pays. What type of Flex Health Reimbursement Account should I enroll in and can I submit expenses for my spouse? |
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You may only elect a Limited FSA for Vision and Dental expenses not covered by insurance because you have an HSA. Also, you should make sure that your spouse’s PPO plan does not cover you. |
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| Q: |
Both my spouse and I contribute to an HSA, what type of Flex Health Reimbursement Account should I enroll in? |
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You may only elect a Limited FSA for Vision and Dental expenses not covered by insurance because you have an HSA. |
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| Q: |
What types of medical procedures/expenditures are NOT covered under the Health Care Account? |
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| A: |
Examples would include: Any type of cosmetic procedures, treatments or medications, vitamins, toiletries, weight-loss drugs (unless medically necessary), hair-loss treatment or cosmetic dental work (bleaching, whitening stripes or gels, bonding, veneering).
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| Q: |
What types of over-the-counter (OTC) medications WILL be covered? |
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Examples would include: Allergy medications, antacids, cough drops, hemorrhoid medication, pain relievers, muscle/joint pain creams. Vitamins will be covered if prescribed by a physician. |
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| Q: |
How often may I file a Flexible Spending Account claim? |
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You may file claims as often as you wish. Reimbursement requests are processed on a daily basis. Many people choose to accumulate a number of receipts and submit them all at once.
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| Q: |
How do I request reimbursement from any of my Accounts? |
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Fully complete, date and SIGN a claim form and be sure to attach a receipt indicating who, what, why, where when and how much. Balance due bills, Visa receipts or cancelled checks are NOT acceptable.
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| Q: |
How am I reimbursed for my expenses? |
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There are two ways you may be reimbursed. You may be reimbursed by check either through the mail or by walking into FlexBank’s offices at 1250 West Dorothy Lane, Suite 107 Kettering, OH 45409. Or, you may elect to have your reimbursement deposited directly into your personal checking account. If you elect this option, it will not only save you a trip to the bank but you will also receive on the day your claim is processed an e-mail telling you the amount and date of the deposit. |
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| Q: |
If I file a Dental claim that exceeds the amount that has been deposited, how much will I be reimbursed? |
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The full amount of the Dental expense will be reimbursed even though you may not have deposited the entire amount by that time. |
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| Q: |
Are the claims for Dependent Care expenses advanced just like claims for Health Care Expenses? |
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No. Claims are reimbursed as monies are withheld and deposited into your account. The dates of service must be incurred prior to reimbursement. For example, if you pay your childcare provider on Monday for the entire week, the claim cannot be reimbursed until Friday, when the dates of service have been rendered.
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| Q: |
Can I use the Dependent Care Account to pay for a day care center, babysitter or other provider for days when I am on vacation? |
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No. The money you contribute to the account can only be used to reimburse the expenses of dependent care provided while you are working.
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| Q: |
What are other examples of items NOT covered under the Dependent Care Account? |
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Examples would include: Kindergarten fees, deposits, field trips, transportation, overnight camps, annual membership fees to YMCA programs, clothing, or food.
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| Q: |
What types of summer camps are reimbursable under a Dependent Care Account? |
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Per the IRS, day camps are generally valid for reimbursement. Specialty summer camps, such as soccer, football, science, etc. are acceptable. It is immaterial to the IRS that the child may well be learning something while at the camp. The point is that the child is at the camp so that you can go to work. |
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| Q: |
If I decide to participate in
Health Care and Day Care Flexible Spending Accounts, can I switch money from one account to another during the year? |
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No. IRS regulations require the two accounts to be separate.
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| Q: |
Can FlexBank send payments directly to the doctor or daycare center? |
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No. As required by law, the payment is made directly to you.
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| Q: |
Do I report the payments I receive from my Flexible Spending Account as taxable income for federal, state or city income tax? |
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No. These payments are not taxable under current law.
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| Q: |
What if I have more expenses during the year, say for day care, than I have allocated in my account? |
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You will pay the remaining expenses as you have in the past with after-tax dollars.
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| Q: |
What happens if I put more money in an account than I use during the plan year? |
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Any funds deposited in a Flexible Spending Account and not used by the end of the plan year ARE FORFEITED. However, with over-the-counter medications being approved, this is not as likely to happen.
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| Q: |
What if I have medical services in December but don’t get a bill until after the plan year ends? |
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You may submit claims until March 31 for Flexible Spending Account expenses that you have incurred during the previous year.
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| Q: |
Are orthodontia expenses reimbursable through the Health Care Spending Account? |
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Yes, however, full reimbursement before the work is completed for the entire orthodontia expense can not be made, according to the IRS. Also, a letter stating the medical necessity of the work must be obtained from the provider listing the service dates (for adjustment, etc.) throughout the year. You may be reimbursed according to the service dates for a monthly payment schedule, or, if you choose to pay the entire bill at the beginning of the year, you can be reimbursed 50 percent of the total bill, with the remaining 50 percent being paid in monthly increments, according to the service dates. Orthodontia expenses are still allowable, however the IRS is simply stating there must be a medical reason (versus cosmetic) and that the entire bill cannot be reimbursed before the entire service has been rendered.
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| Q: |
Why should I participate in the Flexible Spending Account Program? I’m afraid I might not use all of the money I put into them. |
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If you want to get a tax break and pay for your health care and dependent care expenses with pre-tax dollars, Flexible Spending Accounts are a good way to do that. The key is careful planning. Generally, it may be to your benefit to underestimate your expenses and put a little less in the account than you think you will need to avoid a chance of forfeiting the money.
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| Q: |
Can I change the amount of my deposits during the year? |
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For the Health Care Account, the amount can only be changed during the year if you have a qualifying event, such as a marriage, divorce or legal separation, birth or adoption of a child, death of a spouse or dependent, involuntary reduction in work hours or termination of your spouse’s employment. The change of election must be “on the account of the event” and must also be consistent with the request.
The Day Care Account is very forgiving as far as mid-year changes in elections. For example, a change may be made if you go from full-time to part-time and need the baby sitter more or less. You can contribute one amount for a latch-key sitter during the school year and another amount during the summer for summer day camp. |
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| Q: |
What if I leave the City during the year? |
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| A: |
You have 90 days following the last day of employment in which to file claims for expenses incurred prior to that date. Any remaining balance is forfeited.
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| Q: |
Can I sign up / enroll at anytime? |
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No, You may only sign up during the enrollment period (typically, a two week period in the fall), upon hiring by the City or if you have a qualifying event, such as a marriage, divorce or legal separation, birth or adoption of a child, death of a spouse or dependent, involuntary reduction in work hours or termination of your spouse’s employment.
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Benefits Disclaimer: These benefit details are for information purposes only and provide a general overview of some of the current benefits for full-time employees. This material should only be used as a reference. All benefits are subject to modification or elimination.
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