The Superior Court offers two (2) flexible spending
account plans that allow employees to pay for dependent care, un-reimbursed
medical expenses and certain insurance premiums on a pre-tax basis through
payroll deduction. An employee may choose one or both plans to
participate in; however, enrollment in this program must be completed within 60
days of the initial hire date or during the annual open enrollment period. Any
elections (choices) made during the open enrollment period will be in effect
for the entire plan (calendar) year and cannot be changed without a qualifying
change in family status, or until the next open enrollment. In addition, all
open enrollment changes are effective the first day of the next calendar
year. Employees who wish to remain in this program year after year must
re-enroll each year they wish to participate in flexible spending accounts and
may make adjustments to their contributions at that time.
Health Care Spending Accounts
This plan helps participants pay the out-of-pocket costs
associated with their medical, dental and vision plans that were not covered
expenses under the Health Benefit plan, such as co-pays and/or deductibles as
well as many other IRS qualifying expenses. This includes expenses for yourself
and any person(s) you claim as a dependent on your Federal income tax return,
regardless if they are covered under your Court medical plan.
Participants may elect an amount to be deducted on a
pre-tax basis from their annual pay to go into this spending account broken up
on a bi-weekly basis. After submitting receipts along with a reimbursement
claim form for qualified expenses, participants are directly reimbursed from
this account.
Here is a summary of the key benefits of a Health Care
Spending Account, including a listing of eligible reimbursable expenses.
|
Maximum
Annual Contribution Amount
|
$3,500
|
|
Eligible
Covered Dependent
|
Any
dependent you can claim on your tax return
|
|
Eligible
Expense Time Period
|
January
1 (or hire date, if later) to December 31 of same year
|
|
Claims
Filing Deadline
|
March 31
of subsequent year
|
|
IRS
Rules
|
Any
funds left in your account after the end of the eligible expense time period
are forfeited
|
Dependent
Care Spending Account
This plan helps make dependent care expenses more
affordable. This includes expenses for dependent children under the age of 13
whom you claim as a dependent on your Federal income tax return, or other
family members, such as disabled children or elderly parents, who are unable to
care for themselves, require full-time care, and whom you claim as dependents
on your income tax return.
Participants may elect an amount to be deducted on a
pre-tax basis from their annual pay to go into this spending account broken up
on a bi-weekly basis. After submitting receipts along with a reimbursement
claim form for qualified dependent care expenses, participants are directly
reimbursed from this account.
Here is a summary of the key benefits of a Dependent Care
Spending Account, including eligible reimbursable expenses.
|
Maximum
Annual Contribution Amount
|
$5,000
|
|
Eligible
Covered Dependent
|
Any
dependent you can claim on your tax return
|
|
Eligible
Expense Time Period
|
January
1 (or hire date, if later) to December 31 of same year
|
|
Claims
Filing Deadline
|
March 31
of subsequent year
|
|
Eligible
Covered Dependent
|
Dependent
children under age 13 whom you claim as a dependent on your Federal income
tax return. Other family members, such as disabled children or elderly
parents, who are unable to take care of themselves, require full-time care,
and whom you claim as dependents on your income tax return, are also
eligible.
|
|
IRS
Rules
|
Any
funds left in your account after the end of the eligible expense time period
are forfeited
|
Please
visit the links below for important information regarding your flexible
spending accounts:
FSA - Summary Plan Description
FSA – Medical Plan Documents
FSA – Dependent Care Plan
Documents
FSA - Reimbursement Form
FSA - Direct Deposit Form
FSA - Enrollment Form
Sample Expenses Eligible for
Reimbursement
IRS Guidelines (coming soon)
|
FSA HealthComp
|
|
P.O. Box 45018
|
|
Fresno, CA 93718-5018
|
|
1-800-442-7247
|