Flexible Spending Accounts

A flexible spending account (FSA) allows you to set aside money pre-tax to use for qualified medical expenses, childcare, or elder care. 

 

Our FSA plan administrator: ASIFlex
asiflex.com | 800-659-3035 | asi@asiflex.com

Important Updates Due To COVID-19

Temporary Dependent Care FSA grace period (2021 and 2022)
2020 Dependent Care FSA participants can apply 2020 Dependent Care FSA funds to expenses incurred through Dec. 31, 2021. Additionally, participants in the 2021 Dependent Care FSA will be able to apply those funds to dependent care expenses incurred through Dec. 31, 2022.

Temporary increase in age of dependents eligible for Dependent Care FSA (2021)
For the 2021 plan year, participants can apply Dependent Care FSA funds to childcare expenses incurred through the child's 14th birthday. 

Temporary extension of claims deadlines
The claims filing deadlines for calendar year 2019 claims has been extended until June, 30, 2021. The deadline for 2020 claims has been extended until the earlier of April 30, 2022, or 60 days after the COVID National Emergency ends. If you had a 2019 or 2020 claim denied due to late submittal, please contact ASI for assistance.

Temporary expansion of Health Care FSA rollover
All remaining 2020 Health Care FSA funds were rolled over for use in 2021. All remaining 2021 Health Care FSA balances will roll over for use into 2022.

Permanent expansion of eligible expenses
The Coronavirus Aid, Relief and Economic Security Act permanently expanded the items eligible for reimbursement to include most over-the-counter drugs/medications and menstrual products, going back to Jan. 1, 2020. ASIFlex has updated its eligible expenses webpage to include these changes. NOTE: Your debit card may not immediately cover these expenses, until retailers get their systems updated.

Eligible expenses now include personal protective equipment
PPE such as masks, hand sanitizer, and sanitizing wipes are eligible medical expenses if used for the primary purpose of preventing the spread of COVID-19. Expenses incurred on or after January 1, 2020, may be eligible, but you must submit an itemized receipt showing each PPE purchased and the dollar amount.

 

Quick Facts

How FSAs Work

FSAs are accounts that allow you to save money by reducing your taxable income. You set aside pre-tax money into the fund. When you incur a qualifying expense, you get reimbursed from the fund. You do not count the reimbursed money as income and never have to pay taxes on it.
 

View The Intro Video
Produced by our plan administrator, ASIFlex

How To Participate

To participate, you must enroll each calendar year during the Open Enrollment period. You select an amount to put into your FSAs for the coming year. The amount you choose will be deducted equally over the course of 24 paychecks throughout the calendar year.

When you incur a qualifying expense, you submit a claim to the plan administrator, ASIFlex, who will then issue you a reimbursement via check or direct deposit.

How To Submit Claims

Through the ASIFlex website
Visit the ASIFlex website

 
With the ASIFlex mobile app
Google Play or App Store

 
By mailing or faxing the claim form
Download Claim form (PDF)

Remember to use your alternate ID. It's in UAccess Employee/Manager Self-Service > University Benefits, below your name on the Benefits Summary page.

FSA Options

You can choose either or both of the two FSA options.

Health Care FSA

Co-pays | Deductibles | Medical, dental, and vision expenses | Over-the-counter drugs | Illness-related transportation

See Full list of Eligible Health Care Expenses

Annual contribution max: $2,750/household

Year-to-year rollover: $550 max Temporary expansion.
See COVID-19 updates above

Deadline to submit claims: April 30 of the following year
 

Optional debit card: Use the debit card to pay directly for eligible expenses. Learn more about debit cards

See how much you could save
ASIFlex Tax Savings Calculator

 

Note: Enrollees in the High Deductible Health Plan with Health Savings Account may not enroll in the full Health Care FSA, but may enroll instead in the Limited Health Care FSA. The Limited Health Care FSA covers expenses related to dental, vision, or out-of-network preventive care services.

Dependent Care FSA*

Childcare | Babysitters** | Nannies | Day camps | Elder care
 

See Full list of Eligible Dependent Care Expenses

Annual contribution max: $5,000/household

Year-to-year rollover: None Temporary grace period.
See COVID-19 updates above

Deadline to submit claims: April 30 of the following year
No deadline during temporary grace period

Who is a dependent? (See full definition in the appendix)

  1. Child under the age of 13

  2. Family member or adult who is unable to care for themselves, shares your residence, and meets income requirements

* Expenses must be incurred to enable you and your spouse to attend work or school

** Babysitting cannot be reimbursed if provided by your spouse or one of your own dependent children

 

How To Choose Your Contribution Amount

When you enroll in an FSA, you must elect an amount to withhold for the plan year. This amount is based on your estimate of your family's annual health and/or dependent-care expenses.

The amount you withhold is "use it or lose it." To avoid losing unused funds at the end of the year, we recommend making conservative estimates of your expenses. The Health Care FSA allows some rollover from one year to the next, but the amount is capped. The Dependent Care FSA has no rollover.*

 *Note: Due to disruptions caused by the COVID-19 pandemic, the FSA rollovers have been temporarily expanded. Please see the COVID-19 updates above for more information.

How To Change Your Contribution Amount

You may only change your elected contribution amount in the following situations.

Open Enrollment:

Usually occurs in October and November

Qualifying Life Event*:
Change Form (PDF)

Change in family (Marriage, Birth) | Change in employment status | Change in dependent eligibility | And more...
All qualifying life events are listed on the change form

*You must request changes within 31 days of the event.

Appendix: Plan Documents and Definitions

Plan Documents

Participant Plan Information (PDF)
Describes plan provisions as well as qualifying and non-qualifying expenses

IRS Publication 502 (PDF)
Filing for medical and dental expenses

IRS Publication 503 (PDF)
Filing for childcare and dependent-care expenses

Forms

FSA HIPAA Notice (PDF)

Direct Deposit Enrollment Form (PDF)

Enrollment/Election Change Form (PDF)

What Is a Dependent?

For purposes of claiming expenses under the FSA Dependent Care plan, a qualifying person must be:

  • Your dependent child who was (a) under age 13 when the care was provided, (b) for whom you have custody more than 50% of the year, and (c) whom you can claim as an exemption on your federal income tax return; or
     
  • Your dependent (child older than age 13, spouse, parent, or other adult for whom you have custodial responsibility) who (a) is physically or mentally unable to care for himself or herself, (b) shares the same residence with you, and (c) has an income less than the federal exemption amount.

See full definition 

Do you need more assistance?

Connect with HR Solutions to help review your options.
Email hrsolutions@email.arizona.edu or call 520-621-3660.