Flexible Benefits(state and higher education employees)
Flexible spending accounts (FSAs) help make your money go farther. Here’s how they work:
State and higher education employees (excludes offline agencies) are eligible for FSAs. They help you decrease your taxable income and increase your take-home pay. It allows you to pay certain expenses from your pre-tax income rather than after-tax income. The maximum amount you can contribute to a FSA is set by the Internal Revenue Service (IRS). The limits are subject to change yearly.
Note: Flexible benefits for state and higher education employees are only available to benefits-eligible employees; part-time employees may not enroll in these benefits.
Used to pay for certain medical, dental, vision and prescription costs not covered by your insurance. You do NOT qualify for a medical FSA if you are enrolled in the CDHP/HSA. Up to $500 of your unused FSA balance can be carried over into the next plan year instead of you “losing it.”
May only be used to pay for certain dental and vision costs not covered by insurance. For employees enrolled in the CDHP/HSA, the limited purpose FSA is a great way to save on vision and dental expenses while continuing to grow your HSA balance.
Used to pay for certain dependent-care costs, such as after school care, baby-sitting fees, adult or child daycare and preschool. Certain requirements must be met by the eligible employee and/or his or her spouse. For details, review the governing Plan Document located on the Publications page.
Availability of Funds: Employees who enroll in a medical FSA or L-FSA during annual enrollment will have their full election amount available to them the first week of January, or within approximately 3-4 weeks after they enroll. DC-FSA funds are only available as they are taken from your paycheck; your full election amount is not available up front. In addition, you may only file claims for dependent care for which you have a sufficient amount in your account to pay for them (i.e., you may not file claims for a future date).
Transportation and Parking (state employees only)
Used to pay for certain work-related commuting and/or parking expenses.
Going forward, state employees who have a transportation/parking FSA must submit current year claims by April 30 of the following year. Claims submitted after that date will be denied. However, you will not lose your funds if you continue to be enrolled. You will only lose funds if you do not spend them or are no longer enrolled in a transportation/parking FSA.
State employees: To put money in a FSA, you must do so in Edison.
- Medical, limited purpose or dependent care FSAs: If you want your enrollment to continue, you must take action to reenroll each year during annual enrollment. Enrollment does not continue from year-to-year. You will enter your annual contribution in Edison. The system will calculate the amount to take out of each check based on the number of paychecks you receive each year.
- Transportation and parking: You do not have to reenroll, and employees can enroll at any time.
- Higher education employees: For new hires, to put money in a FSA, you will do this on PayFlex’s website (stateoftn.payflexdirect.com).
If you are enrolled in a CDHP, you and your enrolled spouse cannot use a flexible spending account (FSA) for medical expenses. You can have a limited purpose FSA to use for dental and vision expenses. You should consider contributing the maximum allowed to your HSA before contributing to your limited purpose FSA because HSA dollars are not "use-it-or-lose-it" like an FSA.
PayFlex debit cards
- For those who enroll during annual enrollment, PayFlex will send all newly enrolled medical and limited purpose FSA participants a debit card in December. New hires/newly enrolled would receive their debit card within 3-4 weeks of enrollment. Instructions on how to order additional cards is under PayFlex Accounts.
- Plan members who currently have a medical or limited purpose FSA debit card will not receive a new debit card. Your current card will continue to work. You can use it at pharmacies, doctor’s offices and other healthcare facilities to pay from your account.
- If you enroll in the CDHP/HSA and a limited purpose FSA, the same debit card will work for both accounts. PayFlex will pull any dental or vision expenses from your limited purpose FSA “purse” on the debit card before using any of your HSA funds. This allows your HSA funds to continue to grow.
- If you currently have a HSA with a debit card and plan to enroll in a limited purpose FSA, you will use the same debit card in 2018 for both your HSA and limited purpose FSA eligible purchases.
- Dependent care and transportation and parking FSA participants will not use a debit card.
You should keep all health insurance, dental insurance, and vision insurance explanation of benefits (EOBs) when using the debit card to pay for eligible healthcare expenses. PayFlex may contact you later and request them. If you cannot provide EOBs, use of your debit card may be suspended and you will be required to file paper claims or upload claims to PayFlex on their website for FSA or L-FSA processing.
If you enrolled in a medical or limited purpose FSA, you should go online at PayFlex to create an account and register your new debit card to pay many of your medical expenses that are not already covered by insurance. After you create your account, you can review your claims activity, upload documentation, provide claims substantiation (if requested), order an additional debit card and see your account balances. Instructions for setting up your PayFlex account can be found here.
If you are enrolled in a dependent care FSA only, you cannot use a debit card, but you can create an online PayFlex account in order to see your DC-FSA account balance, claims, and activity. Instructions for setting up your PayFlex account are here.
You can order an additional PayFlex Card, your account debit card, once you log in at Payflex. New users will need to register first by clicking on the “Register Now” button. From the employee portal, look for “Quick Links” and click on “Manage My Debit Card(s).” Click on the button labeled “Order a Dependent Card” and enter the spouse or dependent name and click submit.
Please click here for instructions on how to receive reimbursements for 2018 claims for your medical, limited purpose, dependent care and transportation and parking.
Note: In 2018, PayFlex will continue to manage medical, limited purpose and dependent care FSA programs. Benefits Administration will continue to manage transportation and parking flexible benefits (for state employees only).