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

 

Non-discrimination disclaimer
FSA plans undergo required IRS non-discrimination testing to ensure that highly compensated individuals are not disproportionately advantaged. If the University’s plans were not to meet the non-discrimination guardrails throughout a calendar year, households with household income of more than $135,000 may be required to reduce FSA contributions.

Important Updates Due To COVID-19

Permanent Dependent Care FSA grace period (after 2022)
Participants may apply 2022 contributions to expenses incurred through March 15, 2023.

Temporary extension of claims deadlines
The claims filing deadlines for calendar year 2021 claims has been extended until April 30, 2023.

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.

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.

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. (A debit card is also available for the Health Care FSA.)

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 > University Benefits > Benefits Summary.

By recurring direct pay
(Dependent care FSA only)
Learn about Direct Pay (PDF)

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: $3,050/participant

Year-to-year rollover: $610 max

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: 2.5 month grace period (contributions in a calendar year can be applied to expenses incurred through March 15 of the following year).

Deadline to submit claims: April 30 of the following year

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 Dependent Care FSA has a grace period, allowing you to claim expenses incurred through March 15 of the following year. 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.

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.