2013 fsa plan year. types of flexible spending accounts you can elect one or both types of flexible...
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2013 FSA Plan Year
Types of Flexible Spending Accounts
You can elect one or both types of Flexible Spending Accounts:– Medical FSA
• Co-Payments/Co-insurance/Deductibles• Prescription Drugs• Allergy Injections• Prescription Glasses/Contacts• Dental cleanings, fillings, crowns, etc.• Orthodontia• Over-the-Counter drugs• And Much More!
– Dependent Care FSA• Child Care
• Nursery School
• Before/After School Care
• Adult Care
• In-Home Dependent Care
How much can I elect for a year?
Medical Flexible Spending Account
– For reimbursement of eligible out-of-pocket medical expenses up to $2500
Dependent Care Flexible Spending Account
– For reimbursement of eligible out-of-pocket dependent care expenses up to
$5,000 for this short plan year (depending upon your IRS filing status)
Be conservative with your elections: unused dollars are forfeited at
the end of each plan year
You cannot change your election during the plan year unless you
have a qualified status change
Includes marriage, divorce, birth of child
Tax Savings Example
Medical FSA
Annual Savings Example With FSA WithoutJill's taxable income is: 50,000$ 50,000$ Contribution to FSA 2,000$ -$ Taxable Income 48,000$ 50,000$ Real Spendable Income 38,871$ 38,418$ Tax Savings 453$
Short Plan Year
• This year is a great opportunity to try the FSA without a full year’s commitment
• January 1-September 30, 2013
• Extended grace period through Dec 15, 2013
Eligible Over-The-Counter (OTC) Items
The following types of items remain fully eligible:
Birth Control Hearing Aid Batteries
Contact Lens Solution Heat Wraps
Denture Adhesives Heating Pads
Ear Supplies Insulin & Diabetic Supplies
First Aid Supplies Adult Incontinence Products
Health Monitors Supports/Braces
Eligible Over-The-Counter (OTC) Items Requiring a Prescription
The following types of items require you to submit a prescription to BRI if you wish to be reimbursed with your FSA funds:
Acne Medications Toothache relievers
Allergy & Sinus Medications Lactose Intolerance Pills
Antibiotic Products Motion Sickness Pills
Anti-fungal Medications Pain Relief (e.g. Aspirin)
Baby Rash Ointments Sleep Aids & Sedatives
Cold, Cough & Flu Medications Stomach Remedies
How To Use Beniversal® for Medical Expenses
Use at qualified merchants (pharmacy,
doctor, dentist, vision, etc.)
If prompted at the point of sale, choose
credit not debit
Always retain your receipts
Substantiation Process
• If we cannot match the charge to your plan summary, we may require substantiation.
• If so, you will receive an email from BRI asking for a receipt or an Explanation of Benefits (EOB)
• You can send it to us by Fax, uploading it online, or from your smart phone with the BRI app
• Doctor and ER visits will require an EOB showing the bill has been processed through your carrier
Save Your Receipts!
Cash Reimbursement Claims
Submit reimbursement claims for all Dependent Care expenses and those
Medical expenses for which you could not use your Beniversal® card
Reimbursement is available in two ways:
– A check mailed to your home address
– Direct deposit into your checking/savings account (you can set up direct deposit
via your online account or by mailing or faxing the direct deposit authorization
form)
Dependent Care Eligibility
Care must be for dependents under the age of 13, or an adult dependent incapable of self-care
Care must enable you (and your spouse if you are married) to work, look for work, or attend school full-time
Dependent Care FSA vs. Tax Credit on your 1040 (Talk to your accountant to determine which is of greater benefit to you)
Tax Savings ExampleDependent Care FSA
Annual Savings Example With FSA WithoutJill's taxable income is: 50,000$ 50,000$ Contribution to FSA 5,000$ -$ Taxable Income 45,000$ 50,000$ Real Spendable Income 36,550$ 35,418$ Tax Savings 1,132$
BRI Phone App
Click on Participants
Login at www.benefitresource.com
Enter your Company Code = serenalilyMember ID = SS#Password = Home Zip Code (unless previously changed)
Your Home Page
Your home page allows you to resolve receipt requests, view a table of eligible expenses, review your account balance and transaction detail, submit claims, set up direct deposit and obtain any forms you may need.
Turn your enrollment form into Leigh by Friday, November 30
Payroll deductions will occur in equal amounts from each semi-monthly paycheck beginning in January 2013
You should receive your Beniversal® cards by the end of December unless you already have a card.
You have until March 15, 2013 to incur expenses for your 2012 plan year elections. Submit claims for expenses incurred during the 2012 plan year by May 15, 2013 to Paychex.
You can continue to use your card for your 2013 elections through 9/30/13, and submit receipts for expenses incurred by 12/15/13 through 1/15/14.
Important Dates
Commuter Benefit Plan
Featuring Beniversal® Card Technology
Commuter Benefits
Separate benefits are available for mass transit
and qualified parking
Reimbursable business expenses do not qualifyDepending on your tax bracket, you can save up to 40% on your commuting costs
Pre-tax monthly limits are $125 for transit and $240 for parking elections
Example of Tax Savings Based on 28% tax bracket
Monthly Taxable Income 2,000$ 1,900$ Taxes Paid* 560$ 532$ Out-of-pocket Transit Expenses 100$ N/ATake home pay 1,340$ 1,368$ Monthly Savings -$ 28$ Annual Savings -$ 336$
Eligible and Ineligible Expenses
Eligible expenses include the following work-related commuting costs:
-Buses -Vanpools
-Trains/Subways -Parking
-Ferries
Ineligible expenses include the following:
-Taxis -Fuel
-Carpools -Tolls
-Telecommuting
The Beniversal Card
Stored-Value MasterCard
Holds the value of your payroll deductions
Use it to pay for your transit and parking expenses
How To Use Beniversal
Can be used only at mass transit and parking vendors that accept MasterCard
Contains two purses: Mass Transit & Parking
Unused balances rollover every month
No credit check or impact on your credit report
Purchases limited to card balance
If prompted at a ticket vending machine, select CREDIT
Lost/stolen cards should be reported immediately
You will receive your Beniversal card toward the end of the month following enrollment
Do not throw away this envelope—it contains your card! To activate your card, call the number on the card activation
label
Beniversal MasterCard
Cash Reimbursement
If your vendor does not accept MasterCard, pay with cash
or checkAccess your Beniversal account funds by submitting a
reimbursement claimClaims may be submitted online, mobile app, via mail or
fax (claim forms are available online if submitting via mail or fax)
Attach proof of payment if availableSubmit the claim to BRI within 180 days of incurring the
expenseYou have a choice to receive reimbursement via a check
or direct deposit (submit the Direct Deposit Authorization Form if choosing this method)
Cash Reimbursement Claim Form
BRI Phone App
Using Beniversal for San Francisco Bay-area Transit
The San Francisco Bay area has a number of different
options that allow you to use your Beniversal card to
purchase passes and fares.
The regional Clipper Card is your most convenient option
How do I add value to Clipper?
You can use your Beniversal card to add value to a Clipper Card in the following ways:
• Set up Autoload through your Clipper online account: each time your pass is due to expire or whenever your E-Cash balance runs low, Clipper will automatically charge your Beniversal card to reload passes and/or E-Cash value to your Clipper Card
• Use the Add Value Machines, which are located at many BART stations such as Powell Street, Civic Center and Montgomery Street, as well as most ferry terminals
• Call Clipper Customer Service at 1-877-878-8883
How to Pay for Your Daily BART Parking
• Park in any FEE space in the BART station parking lot (do not park in permit only)
• Place your hang tag on your rear-view mirror with the serial number facing forward
• After you pass through the fare gates, look for the EZ Rider Parking Validation Machine
• Touch your Clipper card to the sensor disk. You will see “OK” on the display when complete
• That’s all there is to it! You don’t have to remember your stall number or carry extra change.
BART Parking: Clipper & EZ Rider You can pay for BART parking with your Clipper Card, although the actual charges
will be billed to an EZ Rider Parking Account
To set up an EZ Rider Parking Account, go to https://ezrider.bart.gov/ezrider/ and
click Sign Up; at which point you will indicate at which BART station you park and
also provide your Clipper Card’s serial number
Your credit card will be charged $2 for the hang tag and approximately $40, so be
sure you use a card with enough funds.
Your Beniversal card will be charged automatically whenever your EZ Rider
Parking account balance falls below $10., typically in increments of $40.
When making a parking election for your Beniversal card, please keep these
autoload charges in mind.
Using Beniversal for Parking Expenses
Use your Beniversal at any parking vendor that accepts MasterCard
Or… pay the parking vendor and submit a reimbursement claim to BRI within
180 days of incurring the expense
Use your Beniversal card at meters that accept credit cards
Making and Changing Your Election
Initial enrollment period ends January 5 at 8:59 PM
Future elections can be made by the 5th of any month
Once an election is made, it will self-renew each month
Elections made before 1/5 will result in payroll deductions
in January with funds available on your Beniversal card
by January 17th
Receipts must be submitted within 180 days of the
expense for reimbursement.
Call BRI Participant Services immediately (800-473-9595)
A new card will be issued and your balances transferred
There is a $5 charge for replacement of lost cards
Remember to link your new card to your Clipper account
If You Lose Your Card
While an active employee, balances carry forward every month, every year
Upon termination, you may continue to use your account if you opt to pay the monthly fee
Or You can transfer the balance of your debit card to your Clipper
Card
If You Terminate
View your account and make plan changes online at www.BenefitResource.com
Log In Information
Enter Login InformationCompany Code =serenalily
Member ID = Payroll ID# with 0’s in front to make it 9 digits Password = Your home zip
code
Enter Login InformationCompany Code =serenalily
Member ID = Payroll ID# with 0’s in front to make it 9 digits Password = Your home zip
code
Your Initial Dashboard
CBP Home
Select CBP Enrollment and Changes to beginSelect CBP Enrollment and Changes to begin
Changing Contact Info
Making or Changing Elections
Elections will self-renew if you do not make a change by 8:59 PST on the 5th
Receiving Beniversal® Cards
Beniversal® Cards are activated via a toll-free phone call
Cards are mailedto employees’ homes after enrollment
Customer Service
Go online to www.benefitresource.com
any time
Call BRI Participant Services
800-473-9595 (5 am – 5pm PST)
Go online to www.benefitresource.com
any time
Call BRI Participant Services
800-473-9595 (5 am – 5pm PST)
Questions?