Flexible Spending Accounts


Customer Service

877-303-3539

Website

www.125company.com

FSAs, Pretax Savings for Medical and Child Care!

We all like a good deal. Pretax funds set aside for medical and child care expenses is a great deal! Do you worry how you will pay for the increased deductibles on your health care plan? Plan ahead and set up a Medical flexible spending account during open enrollment in October. A pre-loaded debit card will be ready for your use in January for those new year deductibles.

Forms

Claims rules and filing instructions.

Medical Reimbursement Claim Form - Used to submit a claim for medical reimbursement
Daycare Provider Receipt Form - Used to provide list of day care services used
Direct Deposit Authorization Form - Used to enable direct deposit of reimbursements

Information

Info - FSA Handbook - Overview of the 125 Company FSA benefit
Info - FSA Brochure - Brief overview of the 125 Company FSA benefit
Info - 125 Company Website Guide - Quick start guide to the 125 Company website
Info - FSA Benefit Card FAQ - Frequently asked questions about the benefit card
Info - Reimbursement Quick Guide - A guide to help quickly obtain reimbursements
Info - Eligible vs Non-eligible Medical Expenses - Summary of common covered and non-covered expenses
Info - Non-eligible Medical Expenses - Summary of expenses that are not covered
Info - ! FSA Over-the-Counter and MEDS Notice - Important pharmaceutical notice
Info - Dependent Care Overview - Summary of the dependent care benefit
Info - Federal Dependent Care Tax Credit - Which is better; flexible or Federal Dependent Care Credit?