Benefit from an FSAIncrease Your Spending Power

How an FSA Works You project your qualified expenses during the plan year

You agree to have that amount taken from your paycheck in equal installments on a pre-tax basis during the plan year

You use the funds to reimburse qualified expenses

There are two types of FSA Accounts:Health FSA & Dependent Care FSA

Benefits of a Health FSAYou increase your spending power by receiving a portion of your income pre-tax (no federal income or payroll taxes or state income taxes) You can also easily budget for higher cost health care expenses

You can spend your entire election at any point during the plan year (You may even negotiate a prompt-pay discount with your provider!)• It’s like an interest-free loan

You can reimburse all qualified family members’ qualified expenses, even if they’re not covered on your medical plan

You draw funds directly from your Health FSA via the debit card we send you

Important Information

The election amount you select cannot change unless you experience a qualifying life event

Per IRS regulations, you forfeit any remaining balances at the end of the plan year• Use our online tools to make a careful election• You have additional time at the end of the plan year to spend your balance

You may be required to provide follow-up documentation for certain purchases when you use your debit card

You generally don’t have to provide any follow up documentation when you use your card for plan copays, recurring expenses, and qualified OTC equipment and supplies

Whose Expenses Are Qualified?

Yours, whether or not you’re enrolled in a GIC medical plan

Your legally married spouse’s, whether or not your spouse is enrolled in your medical plan

Your tax dependents’ and your children’s (to age 26), whether or not they’re enrolled in your medical plan

Note: Your domestic partner’s or ex-spouse’s expenses are not qualified for reimbursement per federal regulations

Substantiation

W H A T I S I T ?

The IRS requires that we verify all card

transactions are for eligible expenses

Sometimes, the details that are provided to us for

Debit Card transactions is not enough, so we will

request you send substantiation for us to approve

the expense.

W H E N D O W E N E E D I T ?

Only send information in if we request it.

We have many auto-substantiation processes that

we use to prevent our need for a request.

Health FSA Qualified Expenses

Medical Plan

Cost Sharing

Office Copays

Hospital Copays

Prescription Copays

Deductibles

Dentistry

Fillings

Root canals

Implants

Crowns

Orthodontia

Vision

Prescription glasses

Prescription sunglasses

Contact lenses and

solution

Vision-correction

surgery

Over-the-Counter

Equipment and supplies (bandages, splints, crutches, etc.)

Over-the-counter drugs

and medicine when you

have a prescription.

See our Eligible Expense handout for more examples of Qualified Expenses

Forms of Substantiation

A C C E P T A B L E

A detailed receipt that shows all of these:

• Date the expense was incurred

• Name of provider of expense

• Description of expense

• Amount of the expense

U N A C C E P T A B L E

• Cancelled checks

• Credit card receipts or statements

• A “balance forward” statement

It’s easy to submit substantiation for a claim right through our Mobile App, Online Portal, Fax, Mail, or Secure Email!

Mobile Account Access

The Benefit Strategies mobile application is available on iOS & Android

Use the app to view your balance and important filing dates

File claims! Use your devices camera to take a picture of your receipt and upload it through your phone!

View Benefit Strategies contact information and resources

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Benefits of a Dependent Care FSAFunds in a Dependent Care FSA may be used towards expenses for the care of your child(ren) while you (and your spouse if married) are at work or attending school full time.

You can pay your child care related expenses with pre-tax dollars

Eligible Dependents are children up to age 13 or tax dependents of any age who are mentally or physically incapable of self-care reside with you.

Dependent Care FSA Eligible Settings

Day Care Centers Baby Sitters

(In & out of your home)

Before & After

School Programs

Vacation Day-Camps

Note: Kindergarten and overnight camp expenses are not eligible

Important Information

Unlike a Health FSA, you can’t access any more than you’ve had

withheld from your paycheck at any point in the year

The election amount you select cannot change unless you experience a qualifying life event

You forfeit any remaining balances at the end of the plan year

You can pay your provider with a debit card tied to your account

Next Steps on Either AccountUse our calculator to estimate the qualified expenses that you’ll incur from July 1st, 2019 and June 30th, 2020

Please visit:

benstrat.com/group-insurance-commission-fsa

Follow the instructions to enroll in your FSA

After July 1, log onto your account at benstrat.com

Sign up online for communication preferences (e-mails, texts, notification of transactions, etc.)

Customer RelationsMon → Thurs: 8:00am – 6:00pm ET

Friday: 8:00am – 5:00pm ET

Live Chat: benstrat.com

Text-To-Chat: 877-353-9442

Toll-Free: 877-353-9442

Language translation service available

(Automated system available at all times)

Email: commonwealth@benstrat.com

Have Questions?We’ve got you covered.