Plan Summary

The Flexible Spending Account (FSA) program allows you to set aside money on a pre-tax basis to pay for eligible medical and dependent care expenses annually. You decide how much to set aside and that amount is deducted from each paycheck before Federal, State and FICA taxes are calculated so you save money on taxes.  The FSA program is administered by TASC.

  •  A Healthcare FSA is used to pay for eligible medical, dental, vision and prescription expenses that aren’t covered by your insurance.   You are NOT eligible for a Healthcare FSA if you are enrolled in a High Deductible Health Plan.
  • A Dependent Day Care FSA is used to pay for eligible dependent care expenses such as after school care, baby-sitting fees, adult or child daycare and preschool.
  •  A Limited Purpose FSA is only available for employees who enroll in the High Deductible Health Plan  and Health Savings Account.  It is used to use to pay for eligible dental, vision and post-deductible expenses that are not covered by insurance.
  • A Transit and/or Parking FSA is used to pay for qualified work-related commuting and/or parking expenses.
Plan Year: January 1, 2016 – December 31, 2016
Claims Deadline: March 31, 2017
  • Participants are allowed to submit claims during the run-out period which is 90 days after the plan year ends for prior year expenses.
    • All claims for the 2016 plan year must be submitted to TASC by March 31, 2017.

Eligibility

All employees, including rehired annuitants, are eligible for this program, except:

  • University Staff Temporary employees*,
  • Student Assistant with one of the following titles: fellows, scholars, trainees, and
  • Employee-in-Training with one of the following titles: grad intern/trainee, post-doc fellow/trainee

*University Staff Temporary employees are only eligible for the Transit & Parking FSA.

Important Health Care & Dependent Day Care FSA Restrictions

  • You cannot change your election after you enroll for the plan year unless you have a qualifying Change in Status event (e.g. marriage, divorce, birth, leave of absence…)
  • You must re-enroll in the plan every year during the Annual Benefit Enrollment (ABE) period.
  • Carryover
    • If there is any remaining money in your Healthcare or Limited Purpose FSA account on at the end of the run-out period, up to $500 will carry over to the next plan year. Anything over $500 will be lost.
    • The carryover funds will not be available to you until after the run-out period.
    • Click here for more information on how the $500 carryover works.
    • *Note: There is no carryover option for Dependent Day Care FSA. Any funds left in your Dependent Day Care FSA at the end of the plan year will be lost.

Automatic Premium Conversion

Any employee eligible for this plan will automatically have premiums for the following benefit plans deducted from earnings on a pre-tax basis:

  • State Group Health Insurance
  • State Group Life Insurance (premium for first $50,000 of coverage)
  • EPIC Benefits+*
  • Dental Wisconsin*
  • VSP Vision Insurance*

You may choose to waive automatic premium conversion and have your premiums taken on a post-tax basis.

*If you cover a non-tax dependent domestic partner or partner’s children, premiums will be taken on a post-tax basis.

TASC
  • Website
  • Customer Service: 1-844-786-3947

Enrollment

Enrollment – New Employee

You may enroll within 30 days of the start of your first benefits-eligible appointment. Coverage is effective on the first of the month on or following your eligibility date. To enroll, submit a paper application  to your institution's benefits office; you may not enroll via eBenefits for this program.

Only expenses incurred on or after your coverage effective date are eligible for reimbursement.

Enrollment – Change in Status

If you experience a family or employment change, you may be able to enroll, cancel, or change your election. You have 30 days from the change to submit a Change of Election form to your institution's benefits office.

Any change to coverage is effective on the first of the month on or following the qualifying event date.

See the Change of Election form to view a list of events that allow you to make changes during the year.

Annual Enrollment

Employees must re-enroll each year during the Annual Benefit Enrollment (ABE) period. Coverage is effective on January 1st.

Your enrollment will not carry forward from year to year.

Healthcare FSA

The Healthcare FSAis used to pay for eligible medical expenses that are not covered by your insurance. These expenses can be incurred by you, your spouse, your qualifying child up to age 26, or your qualifying relative.

Keep in mind that the IYC Health Plan imposes an annual deductible of $250 individual/ $500 family, office visit copays and an annual out-of-pocket limit of $1,250 individual/ $2,500 family on most illness or injury related services. Preventive services are paid at 100%. These expenses can be reimbursed through this account.

Note: You are not eligible for a Healthcare FSA if you choose the High Deductible Health plan along with a Health Savings Account. You may only enroll in a Limited Purpose FSA (LPFSA)-- see the next tab for more information.

Maximum Annual Contribution: $2,550

Eligible Expenses

For a list of covered expenses, see FSA Eligible Expenses.

Options at End of Employment

Upon the end of your employment, you have the following options:

  • If you do not contribute your annual election amount, you may incur expenses through the end of the month in which your last paycheck is paid (this is your eligibility end date). Any expenses incurred after that date will not be reimbursed.
  • If you contribute your full annual election amount, you may continue to incur expenses through the end of the plan year (this is your eligibility end date).
    • You can have the remainder of your election taken pre-tax on your final paycheck(s); or
    • You can continue your coverage and send payment directly to the Department of Employee Trust Funds. Contact your institution’s benefits office for a continuation form. The continuation form and payment must be received by ETF within 60 days of your coverage end date or the date on the continuation notice, whichever is later.
  • There is no carryover provision for inactive employees. If you terminate during the plan year, all expenses must be incurred by your eligibility end date.

Limited Purpose FSA

The Limited Purpose Flexible Spending Account (LPFSA) is only available to employees who enroll in a High Deductible Health Plan/Health Savings Account. The LPFSA is similar to the regular healthcare FSA but it is designed to work in conjunction with your Health Savings Account (HSA). The LPFSA is used to pay for post-deductible medical expenses and eligible vision and dental expenses that are not covered by your insurance. These expenses can be incurred by you, your spouse, your qualifying child up to age 26, or your qualifying relative.

Maximum Annual Contribution: $2,550

Eligible Expenses

For a list of covered expenses, see the LPFSA Flyer.

Options at End of Employment

Upon the end of your employment, you have the following options:

  • If you do not contribute your annual election amount, you may incur expenses through the end of the month in which your last paycheck is paid (this is your eligibility end date). Any expenses incurred after that date will not be reimbursed.
  • If you contribute your full annual election amount, you may continue to incur expenses through the end of the plan year (this is your eligibility end date).
    • You can have the remainder of your election taken pre-tax on your final paycheck(s); or
    • You can continue your coverage and send payment directly to the Department of Employee Trust Funds. Contact your institution’s benefits office for a continuation form. The continuation form and payment must be received by ETF within 60 days of your coverage end date or the date on the continuation notice, whichever is later.
    • There is no carryover provision for inactive employees. If you terminate during the plan year, all expenses must be incurred by your eligibility end date.

Dependent Day Care FSA

The Dependent Day Care FSA is used to pay for eligible dependent care expenses such as after school care, preschool, and adult and child daycare.

Please note that this account does not pay for medical expenses for your eligible dependent(s).

Maximum Annual Contribution: $5,000 (restrictions may apply)

Eligible Dependents & Expenses

Eligible dependents include your spouse (same or opposite-sex spouse), qualifying child(ren) up to age 13, or your qualifying relative.  See the Dependent Care FSA Qualifications for more information about eligible dependents and covered expenses.

Options at End of Employment

Upon the end of your employment, you cannot continue dependent care contributions. You can continue to request reimbursement for eligible expenses until you exhaust your account or until the end of the plan year, whichever comes first, even if you have not contributed the full annual election amount.

Transit & Parking FSA

The Transit & Parking FSA program is a qualified transportation benefit program under Internal Revenue Code (IRC) § 132 which allows employees to pay for certain employment-related transportation expenses on a pre-tax basis. It consists of two separate benefits, parking and transit.

The Transit & Parking FSA program allows for enrollment, changes or cancellations at any time throughout the year.

Who is Eligible?

All employees, except those listed below, are eligible for this program:

  • Student Assistant with one of the following titles: fellows, scholars, trainees
  • Employee-in-Training with one of the following titles: grad intern/trainee, post-doc fellow/trainee

Transit: The Transit program provides employees with the convenience of using pre-tax dollars to help pay for work-related mass transit expenses. Examples of expenses under the Transit plan include:

  • Transit passes to and from work, including the cost of tokens, passes, fare cards and vouchers.
  • Mass transit public Systems (Mass transit can be a public system or a private enterprise provided by a company or individual who is in the business of transporting people in a “commuter highway vehicle”).

Maximum monthly limit: $130

Parking: The Parking program provides employees with the convenience of using pre-tax dollars to help pay for work-related parking expenses. Examples of expenses under the Parking Plan include:

  • Parking your vehicle in a facility near your place of employment (e.g. downtown).
  • Parking at a location from where you commute, e.g., a train station.

NOTE: If you park at your institution, your deductions may already be taken pre-tax. These deductions are not reimbursable through this program.

Maximum monthly limit: $250

*Please note: Separate reimbursement accounts are maintained for parking and transit expenses; funds cannot be combined or transferred between the Parking or Transit programs.

Claims Submission

If you pay for your expenses out of pocket instead of using your TASC card, there are several methods in which you may submit your claims for reimbursement.

Electronic Claims Submission

  • Mobile App
    • The TASC Mobile App lets you access your account information wherever you are, 24/7/365. To download, simply visit the Apple App Store or Android Marketplace and search for “eflex Benefits”. A few features:
      • File claims using your mobile device’s camera. Simply take a picture of your receipt and upload.
      • View all of your account information in one place.
      • View up-to-date account balances.
      • Check claims status.
  • TASC Online Portal
    •   On the “Home” tab, click on “I want to.. File a Claim”

Paper Claims Submission (Mail or Fax)

  • Complete the FSA Reimbursement Claim Form and submit it with substantiation to:
    • Mail: TASC, PO Box 7511, Madison, WI 53707-7511
    • Fax: (877) 231-1287

 

For 2015 Claims

You have until 3/30/16 to file 2015 claims. To file 2015 claims, you must use the old platform resources: