2019 Flexible Spending Account (FSA) Open Enrollment
         November 7 through December 7, 2018

The Flexible Spending Account has an "Active" Open Enrollment in which a participant must actively make an election to be enrolled in a FSA.
It is not necessary to waive coverage if you do not wish to particiipate in a FSA account for 2019.

For those of you who were not able to attend a meeting on 2019 benefit plan changes, Open Enrollment period, and Wellness Program, view a recorded session here:
2019 Benefit Plan and Well Program Employee Meeting -  http://youtu.be/RlEF67lygSY

  1. Open Enrollment Announcement (PDF)
  2. Plan Information & Enrollment Instructions (PDF)
  3. Health Care FSA Flyer (PDF)
  4. Dependent Care FSA Flyer (PDF)
  5. FSA Expense Worksheet (PDF)
  6. Carryover Provision Flyer (PDF)
  7. FSA Claim Filing Instructions (PDF)

 

Flexible Spending Account (FSA)

  • Summary Plan Document (PDF)
  • FSA 2014 Plan Amendment (PDF)
  • Summary of Material Modifications - 1 (PDF)
  • Summary of Material Modifications - 2 (PDF)
  • Employee Guide to Pre-Tax Savings (PDF)
  • FSA Enrollment Form (PDF)
  • Direct Deposit Form (PDFRequired for FSA claim reimbursement
  • Guide to Expense Reimbursement (PDF)
  • FSA Online Claims Filing Instructions (PDF)
  • Carryover Provision Flyer (PDF)
  • FSA Claim Form (PDF)
  • FSA Online Account Access (PDF)