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Employee Info

What is a FSA (Medical vs. Dependent Care)?

A Flexible Spending Account, or FSA, is an account funded by the employee and/or employer that may be used for eligible medical expenses. Dependent Care FSAs may be used to pay for eligible daycare expenses. Money is taken out pre-tax to fund these accounts over the course of the Plan Year, however, funds are available in full on the first day of the Plan Year (Dependent Care funds are available as the dollars are allocated to the account). FSA dollars do not roll over from year-to-year.

What is a HRA?

An HRA is a Health Reimbursement Arrangement, which is a purse set-up by an employer to offset the deductible. HRAs offer a great deal of flexibility to employers looking to self-fund. Employers can set their own co-pays and choose what the HRA will pay out for. HRAs can be used stand alone or as a supplement to an FSA plan.

FSA Eligible Expenses

FSA Non-eligible Expenses

What Auto-Subs and Doesn't?

Claims that are auto-substantiated do not require claim forms and receipts to be submitted. Recurring claims, purchases for eligible goods and services using the mySourceCard® at approved IIAS merchants and RelayHealth network providers will auto-substantiate. Auto-substantiation parameters are also flexible per the Plan Design.

Direct Deposit Form

My Wellchoice

Oxford Provider Letter for HSA & HRA

Member Letter QHDHP NJ Aetna

United Healthcare Letter

How HRA's relate to C.O.B.R.A.

HRA In-Network

HRA Out-Network

HRA Rx

Cobra DG Form

 

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