- Determine how much money you will spend for out-of-pocket health and daycare expenses within the calendar year. You can use the Discovery Benefits Eligible Expenses web page to help you determine your expenses. Remember, the accounts are separate and funds cannot be commingled between the health care and dependent care spending accounts. Also, if you do not use all the money you set aside, you will lose it; it does not get reimbursed to you nor does it roll over to the next year. Leftover funds will be used to offset administrative expenses. For the Dependent Care FSA, you will only be reimbursed for the amount you have currently contributed so you may be doubling up on your expenses at first.
- Complete the enrollment within 31 days of your hire date or during Open Enrollment. This election will be in effect for the entire year unless you have a qualified life status change. (Note: you must re-enroll each year to continue participating.)
- Your annual election will be divided equally among the remaining pay periods throughout the year, and deducted from your pay check.
- You and/or your dependent incurs expenses.
- Submit your claim for reimbursement.
- You may use Discovery Benefits debit card on the spot for immediate payment. Discovery Benefits may contact you within a few weeks of purchase for a copy of your receipt. If you do not respond to Discovery Benefits or can't provide receipts, your debit card may be inactivated and/or you may be required to repay the plan. For an additional debit card, go to the Discovery Benefits Debit Card web page.
- Review the Guide to Filing Claims. You may submit your expenses for reimbursement online, via mobile app, by fax, or by mail.
- Your claim will be reviewed for eligibility and approved or not approved for payment.
- If you submit a manual claim, you will be reimbursed by direct deposit or check, whichever you elect. Reimbursements are processed within 3 business days of receipt. Keep all receipts for Discovery Benefit's request for verification and for tax purposes. Please note: FSA reimbursement checks indicate that they should be cashed within 180 days of receipt.
- You will be able to track the status of a claim and your account balances on Discovery Benefits website.
Debit Card Co-Pay Match
If you use your debit card to pay office visit or prescription co-pays, you may not need to submit receipts to Discovery Benefits. The IRS clarified that the co-pay match has been expanded to allow multiples up to five times the co-pay for office visits and medications with no additional substantiation (receipts), as long as the merchant uses the correct merchant code.
Use it or Lose it Rule
Plan your estimated expenses wisely. If you contribute more in the plan year than you claim for reimbursement, any amount left in your account at the end of the plan year will be forfeited and used to offset administrative expenses. For employees in this situation, SDSURF has adopted a grace period and a run out period so you can maximize your contributions for health and dependent care related expenses.
Grace and Run Out Periods
The FSA plan year is from January 1 - December 31.
SDSURF has adopted an extended Grace Period for the Health Care and Dependent Care FSA, and you will have until March 15, to continue to receive services under the previous year's Health Care and Dependent Care FSA balances. You will have until March 31 to submit Health Care and Dependent Care FSA claims for the previous plan year and corresponding Grace Period. Between January 1 and March 31, claims submitted against the previous plan year and corresponding Grace Period will be processed on a first in, first out basis (see below).
FSA claims submitted after March 31, for the previous year will not be processed, and any unexpended balances will be forfeited.
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