How the Plan Works
The following information will help you understand and use the plan so that you maximize your benefits.
You may contribute up to $3,300 as a pre-tax contribution to your Limited FSA, and $5,000 as a pre-tax contribution to your Dependent Care FSA. Your contributions will be deducted, on a pre-tax basis, in equal amounts from each of your paychecks.
Making pre-tax contributions to the FSAs lowers the amount of current income taxes and Social Security taxes that you would otherwise be required to pay. The taxes withheld will be based on your salary after your contributions to your FSAs rather than on your total salary. In effect, you are asking the company to allow you to make a nontaxable contribution to your FSAs instead of having the amount paid to you as taxable salary.
You must decide the amount of your pre-tax contributions on or before January 1 of each plan year. Unless a status change occurs as described under Making Changes below, you cannot change or cancel this amount until it is time to make your decision for the following plan year.
Voya's member website is a secure and convenient way to view your FSA balances, submit claims, check your claims status, download forms, and more. To access these features, log in to Voya's member website.
A plan year is the 12 consecutive month period from January 1 to December 31. Once your election is made, you cannot change or cancel it during the plan year unless you have what the IRS calls a "status change." A status change includes:
- Marriage
- Divorce or legal separation
- Birth or adoption of a child
- Death of your spouse or dependent
- Your spouse's beginning or terminating employment
- A change from full-time to part-time or part-time to full-time employment by you or your spouse
- Beginning an unpaid leave of absence for you or your spouse
- A significant change in your or your spouse's health coverage which is attributable to your spouse's employment
- A transfer which results in a significant change in your coverage
- A dependent becoming ineligible under the plan
You may also change your election if one of these special events occurs:
- A "significant" increase in the cost of your or your spouse's health plan.
- Elimination or "significant" cutback in the coverage provided under your or your spouse's health plan (you may increase your spending account contribution).
- Your failure to make the required premium payment (your election will be canceled but you will not be able to make a new election for the rest of the plan year).
- The cost of a health plan increases or decreases during the plan year. The flex plan may automatically change your premium contributions in response to the change in cost.
- Your separation from service. You may cancel your election for any remaining period of coverage. However, if you come back to work during the same period of coverage, you must continue the same elections that were previously in effect until the period of coverage ends, unless you had a change in family status when you separated from service.
If you have a status change and you want to cancel or modify your election for a given year, you must file a written application with the Plan Administrator within 31 days of the event. Keep in mind that any change to your election must be consistent with your status change. The Plan Administrator will consider your application and inform you of the election.
This plan gives you the flexibility to decide how you will use the money in your FSAs based on your needs and your personal situation. Consequently, you will need to think about what expenses you expect to have during the year as you make your decisions about how much of your pay you want to direct into the plan.
All claims incurred from January 1 through December 31 must be submitted for reimbursement by March 31 of the following year. Money in your Dependent Care FSA after the deadline is forfeited. For the Limited FSA, you may carry over $660 per year.
If You Have a Domestic Partner
Because the IRS generally does not consider domestic partners or their children to be eligible dependents, their expenses would not be considered eligible for reimbursement under the FSAs.
All claims for reimbursement from your FSAs must be submitted during the plan year in which the expenses are incurred or on or before March 31st following the close of the plan year.
Limited FSA
If you have a Limited FSA, you may pay with your FSA debit card. You will not have to file a claim, but Voya may request that you provide your receipt or EOB.
Dependent Care FSA
For the Dependent Care FSA, you must file a claim for reimbursement. Log in to Voya's member website or submit a claim form to Voya. Claim forms can be mailed or faxed to Voya. Claim reimbursements must be for a minimum of $25. Voya will process your claim with three business days. To file a claim for reimbursement, you must submit a bill or receipt from the provider containing the following information:
- Name and address of the provider and-in some cases-the provider's taxpayer identification number
- The date(s) services were provided
- The type of service provided
- Who received the service
Submit your claim directly to Voya for payment. Voya will notify you if additional information is needed to finish processing your claim.
More time may be required if there are special circumstances. If so, the plan administrator will contact you within the seven-day period. This notice will include an explanation as to why extra time is required and the date you can expect a decision. The extension will never be longer than 90 days.
If the plan administrator fails to notify you within the designated time period, your claim will be considered to have been denied.
If Your Claim Is Denied
If all or part of your claim is denied, you will receive written notification explaining the reasons for the denial, a description of any additional information or material needed to complete your claim, an explanation of why the information is necessary, and appropriate information about the plan's claims review procedures.
If your claim is denied and you wish to appeal, you may file a request for appeal with the plan administrator. Your appeal should include any additional information that you wish the plan administrator to consider. If your appeal is not filed within the required timeframe, you will not be able to appeal your claim.
The plan administrator will notify you in writing after your appeal is received. If there are special circumstances, more time may be necessary to review your appeal. The decision will be final and binding on all parties and will be communicated to you in writing.
If you are dissatisfied with the decision after you have pursued these steps, you have the right to file a lawsuit in a state or federal court. For applicable claim deadlines and further details of your rights, please see Legal Information.