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Trusted Partner . . . Smart Solutions

Flexible Spending Accounts

The Flexible Spending Account (FSA) program allows you to reduce your earnings by a fixed amount determined by you each year. The FSA is designed to shelter some of your earnings in order to pay for certain medical and/or dependent care expenses tax-free. (Separate accounts are required for medical and dependent care expenses.) To be eligible for participation, you must be employed in at least a nine-month position of at least 50% FTE. You may reduce earnings up to $5,000 per year to pay for un-reimbursed medical/dental expenses, and up to $5,000 to pay for dependent care. Your dependent care account may be used for child care, elder care, or the care of a disabled spouse.

What's New?

Claims may now be submitted online through the EBPA reimbursement portal. See the directions for filing claims.

Do You Want to...

• Sign up for a Flexible Spending Account (FSA) for 2010

• Sign up for an FSA for 2009 (ONLY new employees or employees who have a family or employment status change)

• Learn more / Request reimbursement for expenses / Manage your account online

• Contact EBPA, UVM's FSA vendor

Call Human Resource Services at 656-3150 with any questions.

Information and Resources

• EBPA FSA brochure (pdf): overview of health and dependent care accounts and an example of how you could benefit from FSA enrollment
• FSA Estimating Worksheet (pdf)
• Eligible expenses (pdf)
• Eligible over-the-counter medications (pdf)
• Frequently Asked Questions
• Notice of Privacy Practices - HIPAA (pdf)
• UVM's Flexible Spending Summary Plan Description (pdf)

Forms

• 2010 Flexible Spending Account Enrollment (pdf)
• 2009 Flexible Spending Account Enrollment (pdf)
• 2010 Campus Children's Center Flexible Spending Account Enrollment (pdf)
• 2009 Campus Children's Center Flexible Spending Account Enrollment (pdf)
• Direct Deposit (pdf) - for direct deposit of your FSA reimbursement only
• Health Flexible Spending Claim (pdf) - to submit claims for medical expenses
• Dependent Care Flexible Spending Claim (pdf) - to submit claims for dependent care expenses

Last modified October 29 2009 04:58 PM