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Health and Day Care Flexible Spending Accounts

What are the benefits of a Flexible Spending Account?

The state offers health care and dependent day care flexible spending account ("FSA") options to employees as a way to decrease out of pocket payments for these expenses. Under a provision of the Internal Revenue Code, employees are allowed to payroll deduct a portion of their gross income on a pre-tax basis for the payment of their health care and day care expenses. Using pre-tax dollars to pay for out of pocket health care and day care expenses can reduce your costs by 30% or more depending on your tax bracket. The state partners with Navia Benefit Solutions to help administer the FSA program. For more information, see the "Useful Links" below, ask your human resources office, visit Navia's web site (www.naviabenefits.com) or contact Navia by telephone at 800-669-3539 or by e-mail at customerservice@naviabenefits.com.

FSA Contribution Limits

2016 Short Plan Year

Health Care FSA: $1,275

Dependent Day Care FSA: $2,500 for individuals and married couples filing jointly, or $1,250 if married and filing separately

2017 Plan Year

Health Care FSA: $2,600

Dependent Day Care FSA: $5,000 for individuals and married couples filing jointly, or $2,500 if married and filing separately

How do I enroll?

During open enrollment, you must make your elections online at www.naviabenefits.com. Please note you need a valid email address to enroll online and to receive a debit card. The "Company Code" RHI is required when registering online - either for open enrollment or as a reference guide when calling Navia customer service.

Outside open enrollment, for new hires and status changes, you must complete an enrollment form and return it to the Office of Employee Benefits or your human resources office.

Useful Links

FSA FAQ

FSA Overview

FSA Enrollment Kit

FSA Summary Plan Description

FSA Online Enrollment Instructions (online enrollment only during open enrollment period)

Flexible Spending Account (FSA) Enrollment Form (paper enrollment for new hires and status changes outside open enrollment period)

FSA Eligible Expenses

Flexible Spending Claim Form

Letter of Medical Necessity