Flexible Spending Accounts

UGA has contracted with PayFlex to administer the Flexible Spending Account Program (FSA) for health and dependent care reimbursement.

Using PayFlex, you'll enjoy a variety of features, including:

• 24/7 online access to your account information (go to the PayFlex site)
• Flexible spending account debit card (card fee paid by the University)
• An additional 2 ½ month grace period to incur expenses and submit claims
• Toll-free customer service phone center 8:00am - 8:00pm, M-F: 1-800-284-4885

The maximum annual contribution to a flexible spending account is $5000.
The minimum monthly contribution to a flexible spending account is $20.

If you use the PayFlex debit card to pay for qualified health care expenses, be sure to save copies of your receipts and related documentation. IRS regulations require you to substantiate expenses by providing this information upon request.

Health Flexible Spending Account
The health flexible spending accounts allow you to pay for qualified medical expenses (not covered by medical or dental insurance) with before-tax dollars by making pre-tax contributions to a medical spending account.
IRS changes affecting your debit card (eff. January 1, 2008)
View a list of eligible and ineligible health care expenses.
Express Claims online. (go to the PayFlex site)
Submit a claim to PayFlex using a paper form.

Dependent Care Flexible Spending Acccount
The dependent care spending account allows employees to pay for dependent care expenses with before-tax dollars by allowing pre-tax contributions to a flexible spending account.
View a list of eligible and ineligible day care expenses.
Express Claims online. (go to the PayFlex site)
Submit a claim to PayFlex using a paper form.

Learn more about flexible spending accounts:

• Frequently asked questions about flexible spending accounts
• Instructions for filing a claim
• Direct deposit form (if desired)

Enrollment
If you wish to participate in these programs, you must enroll during your first 31 days of employment, during the open enrollment period, or when you experience an IRS-approved change in family status. You must enroll each year you wish to participate in this program.

Retiring and terminating employees:
If you would like to extend your health FSA through the end of the calendar year during which you leave UGA, you must submit the Lump Sum Payment Application to Employee Benefits several weeks prior to your retirement or termination date. Please speak to a benefits counselor if you have questions about this option.

Print the HRconnection enrollment guide for NEW EMPLOYEES	Print the HRconnection enrollment guide for CURRENT EMPLOYEES
To enroll as a new employee, select "Time to Enroll!" on the HR Connection Web site	To request a change in your flexible spending accounts, select the "Change coverage" button on the HRConnection Web site

If you have any questions about your flexible spending account options, please contact PayFlex toll-free at 1-800-284-4885.

February 13 , 2009