Employers:

• Plan participation increases, saving the employer at least 7.65% in FICA taxes for every employee dollar contributed.
• Helps employees better manage cash flow concerns.
• No additional costs after a nominal $150.00 startup fee.

Employees:

• Instant access to Medical FSA funds, reducing out-of-pocket expenditures.
• Reduces need to file claim forms and documentation prior to reimbursement.
• Most charges auto-adjudicated, reducing need to submit substantiating documentation

Important Notes:

• Participants should save their receipts! The IRS requires that participants keep itemized receipts on file in case of audit.
• For expenses not paid with their cards, participants can still submit regular reimbursement claims - the card is just one way to access an FSA.
• Participants' cards will be mailed to their homes.
• Participants' cards will not expire for 3 years, so if they use up their FSA funds during this plan year, they should keep their cards for next plan year.
• There is no PIN for the Flex Card. When given the option of debit or credit, participants should choose credit

The Flex Card provides plan participants with the convenience of a "cashless" transaction. Instead of paying for eligible expenses and filing a claim to be reimbursed, the Flex Card pays the expense directly from the participant's Medical Flexible Spending Account. This eliminates the participant's need to pay for expenses out-of-pocket before they are reimbursed, resulting in greater value from the plan and higher employee participation.

The Flex Card is a MasterCard® limited merchant category card. It is designed to work only at merchants with a healthcare merchant category code, such as a doctor's office or hospital; and at retail merchants which have an Inventory Information Approval System (IIAS) in place. A merchant using IIAS will provide automatic adjudication at the point of sale for FSA-eligible items; this means participants can only purchase eligible items with their cards at these locations, and they will not need to submit paperwork for these charges. However, per IRS requirements, participants should always keep their receipts on file. The card may not be used to receive cash back. There is no PIN for this card. When given the option between debit and credit, participants should choose credit.

Sometimes. The IRS code stipulates that every claim must be adjudicated. However, the IRS has permitted many cases where expenses may be "auto-adjudicated." It's important to remember that even if claims are auto-adjudicated, the IRS requires that participants obtain and keep backup documentation for all expenses.

The Flex Card will only work at merchants with a health-care merchant category code, such as a doctor's office or hospital; or at retail merchants which have an Inventory Information Approval System (IIAS) in place. The IIAS allows the Flex Debit Card to be used only for eligible expenses, meaning charges made at these retail locations will auto-adjudicate and participants will not need to submit documentation to ProBenefits. For an up-to-date listing of merchants participating in this program, please visit this page. At other eligible locations, such as doctors' offices or hospitals, your employer-sponsored group health plan copays or multiples of those copays will be automatically approved. In order for a copay expense to be auto-adjudicated at an eligible provider, two things must be true: 1) The participant must be enrolled in the group health plan; and 2) The total expense must match the amount of the health plan's copay or copays for that vendor (i.e., office visit copay at a doctor's office).

For every card swipe, participants will receive a series of emails advising them of the status of the claim. The initial email will acknowledge the swipe and the amount. This email is informational and requires no action. The second email will advise whether or not documentation will need to be submitted. If documentation is required, the email should be printed and used as a cover sheet for faxing in the necessary receipt, rather than using a regular claim form. After documentation is submitted, a third email will be sent confirming approval. If the expense is ineligible, the third email will advise the steps necessary to repay the ineligible amount.

Participants will be required to repay any ineligible amounts to their employer. In addition, if an expense is eligible but adequate documentation is not provided when requested, participants will be required to repay that amount. If a participant misuses the card or continually fails to submit documentation when requested, his or her card will be deactivated.

To add the flex card to your company's FSA plan, there is a company startup fee of $150.00. There are no additional monthly fees.

You are required to prefund approximately 1-2 months of FSA contributions and keep a minimum balance on hand. This amount is calculated after enrollment.

Contact your ProBenefits Plan Administrator at (336) 761-1850 or (888) 722-8382 for more information!