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My Benefits | Flexible Spending Accounts (FSA)

Flexible Spending Accounts (FSA)

Administered By ASIFlex

Eligibility

Non-temporary Employees

Non-temporary employees must work at least 20 (50%) hours per week and have an appointment for nine (9) months or greater.

Temporary Faculty (Only Eligible for Dependent Care FSA)

Temporary faculty must meet one of the following eligibility criteria:

  1. they are appointed for nine (9) months working 20 hours (50%) a week or more or;
  2. they are appointed for a second consecutive semester at 20 hours (50%) a week or more.

Enrollment

  • Annual:
    • You must re-enroll into the FSA plan each year during the open enrollment period. Eligible expenses must be incurred between the plan year of January 1, 2019 through March 15th, 2020 or prior to your termination of employment.
  • Qualifying Life Event:

Health Care FSA

  • Allows you to set aside dollars from each paycheck to pay for qualified health expenses.
  • The 2019 IRS maximum annual amount is $2,700.
  • The 2020 IRS maximum annual amount is $2,750.
Examples of Commonly Requested Health Care Expenses
Covered Expenses Ineligible Expenses
Deductible Premiums
Coinsurance Non-Medically Necessary Massages
Copay Diapers
Dental Care Electrolysis
Vision Care Missed Appointment Fees

Dependent Care FSA

  • Allows you to set aside dollars from each paycheck to pay for qualified dependent care expenses.
  • The 2019 IRS maximum annual amount is $5,000.
  • The 2020 IRS maximum annual amount is $5,000.
Examples of Commonly Requested Dependent Care FSA Expenses
Covered Expenses Ineligible Expenses
Children under the age of 13 enrolled in a daycare center or in-home childcare Babysitting for social events
Custodial Care for Dependent Adults Overnight Camp
Pre-School or Nursery School Educational Expenses after Kindergarten
Elder Care for an adult living with you for at least 8 hours a day and a dependent on your Federal Tax return Long-Term Care Insurance Premiums

How You Save Money by Using a Health and/or Dependent Care FSA

FSA 101 Video Cover Image

Estimated Savings
Description Without FSA With FSA
Salary $45,000.00 $45,000.00
Pre-tax Annual FSA Amount ($0.00) ($2,600.00)
Taxable Income $45,000.00 $42,400.00
Taxes (Est. 22%) ($9,900.00) ($9,328.00)
Out of Pocket Medical Costs ($2,600.00) $0.00
Annual Take Home Pay $32,500.00 $33,072.00

Take-home pay increased by $572

For more information and additional ways to save visit Ways to Increase Your Take Home Pay at UNI.

Pre-tax contributions for FSA's reduce your taxable income, lowering the earnings that are reported to the Social Security Administration for purposes of calculating your Social Security benefit. Please consult your tax and financial advisors before engaging in any decisions.

Use It or Lose It

  • Health care and dependent care services for eligible expenses must be incurred between the plan year of January 1, 2019 through March 15th, 2020 or prior to your termination of employment.
  • Any balance remaining on the account at the end of the plan year will be forfeited.
  • You may access a wide selection of FSA eligible items that can be purchased online using the FSA Online Store or through local stores.
  • You may use your debit card for eligible purchases.

Claims and Payment Information

  1. Online – Sign in to your account at asiflex.com and submit your claim online.
  2. Mobile App – Snap a picture of your claim documentation and submit via the mobile app. The free app is available on the App Store for Apple devices and the Google Play for Android devices.
  3. Fax – Download and complete the claim form, submit with your documentation via toll-free fax.
  4. Mail – Download and complete the claim form and mail with your documentation via USPS mail.
  5. FSA Debit Card (Health care FSA Only) – Pay merchant or health care provider with your visa debit card. You may sign for a credit transaction or enter a PIN for debit transactions. You may sign up for a debit card after logging into your account at asiflex.com. There is a $12 annual fee that will be deducted from your healthcare spending account.

Consolidated Omnibus Budget Reconciliation Act (COBRA) Option

In the event your coverage ends due to separation of employment, Human Resource Services will contact you about continuing coverage under COBRA.

Benefit Coverage

Flexible Spending Account Contributions Start
Life Event Coverage Starts Days to Initiate a Change
New Hire Based on your start date, coverage begins on the first day of the next month. 30 Days After the Event
Qualifying Employment Event Based on the event date, coverage begins on the first day of the next month. 30 Days After the Event
Qualifying Life Events Based on the event date, coverage begins on the first day of the next month. 30 Days After the Event
Adoption, Placement for Adoption Coverage starts as of the date on the adoption decree. 60 Days After the Event
Birth Coverage starts the date the baby is born. 60 Days After the Event
Open Enrollment Changes not associated with a life event must be made during the Annual Open Enrollment period. These changes will be effective January 1 of the upcoming year. Defined Open Enrollment Period
Flexible Spending Account Contributions End
Life Event Coverage Ends
No Longer Eligible Coverage ends the last day of the month the appointment is no longer eligible.
Separation of Employment Coverage ends the last day of the separation month.
Qualifying Life Events Coverage ends the last day of the month in which the qualifying event occurred.
Open Enrollment If there are changes to end coverage during the Annual Open Enrollment period, coverage will end December 31 of the current year.

Know Your Current Elections

Learn about your current benefit elections by using the web-based Benefits Self-Service system.

View your Benefit Enrollments

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