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2016 Benefits Guide
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Does not change the maximum you can elect in a plan year
A $500 election in a health FSA can be made without risk of losing funds at the end of the year
No more rushing to spend down your unused funds at the end of the year
You have 90 days past the plan year to turn expenses in for reimbursement. Any excess amount remaining for a particular
benefit at plan year-end will be retained by the plan with the exception of $500. This program is administered by
UnitedHealthcare. You must enroll/re-enroll in the plan to participate for the plan year January 1, 2016 – December 31,
2016.
How the Medical Reimbursement FSA Works:
Estimate health care expenses that are not covered by your health plan at all or a portion you have to pay when using
your benefits (i.e. Co-pays, deductibles, coinsurance).
Decide the amount you will spend and enroll in the Plan.
The annual amount you select is available for reimbursement for qualified expenses.
Use your debit card to pay for qualified expenses or send a reimbursement form and your receipts or statements to
United Healthcare. In case of a paper claim a reimbursement check will be sent to you for the qualified expenses.
The annual amount you elect will be spread out and deducted from your semi-monthly paycheck on a pre tax basis.
Please note, if you elect to enroll in the QHDHP and you establish a HSA you will not be eligible to participate in
the FSA. You may establish a Limited Purpose FSA, which allows you to set aside pre-tax funds for dental and
vision, but not for any expenses covered under the medical plan.