|
Flexible
Spending Accounts/Section 125 - Flex Plan Services
January 1, 2006 - December 31, 2006 |
|
Information provided is
in summary format. Any difference between the summary
provided and actual contract will be settled in favor of the
contract.
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|
Plan
Benefits |
-
Health Care Reimbursement Account
-
Dependent Care Account
- Premium Only
|
|
Plan
Year |
January 1 through
December 31 |
|
Mid-Year
Termination |
Pre-tax
contributions cease upon termination of
employment. Claims for reimbursements may be
submitted for services incurred on or before your
termination date. |
|
Medical
Related Expenses |
(Most) health care
expenses incurred by you and your family not covered
by a health insurance plan, such as deductibles and copayments.
See IRC Sec. 213. |
|
Dependent
Care Expenses |
Dependent care
expenses are eligible if they enable you and your
spouse to be gainfully employed. These expenses
can also be reimbursed through the plan if your spouse
is disabled or a full-time student. |
|
Premium
Only Program |
This plan is
automatically given to each employee. If an
employee does not want to participate in this program,
they must sign and return a "Flexible Benefits Plan
Election" form declining participation of of premium
conversion by December 15, 2003. An employee
cannot change or revoke this election (except for
qualifying events) during the contract year.
Cancellations or changes are allowed only during the
next annual open enrollment period November 1st -
December 15th. |
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Time
Frame to File Claims
|
You should submit reimbursement claims during the Plan
Year, but in no event later than 90 days after the
end of a Plan Year. Any claims submitted after that
time will not be considered. |
|
Permitted
Changes to Plan Contributions
|
Qualified change
in family status |
|
Information |
Questions? Call Flex-Plan Services at (425)
452-3500 or (800) 669-3539. Participants can now
logon to view their claim status, account activity and
balances for both the current plan year and the prior
plan year. Claim data is updated daily at 1 a.m. Visit Flex-Plan Services
at
http://www.flex-plan.com. You will need to
enter the following information:
Username: first name + last name
Company ID: hsd
Password: last 4 digits of your Social
Security Number |
