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The Health Care FSA allows you to set aside tax-free money to be used for certain IRS-eligible medical, dental, or vision expenses not covered by insurance for you, your spouse, and your eligible dependents (children up to age 26, even if they are not covered on your medical plan, are married, or are living away from home). Contributions are elected on an annual basis and cannot be changed during the year unless you experience an IRS-defined qualifying life event. There are two types of FSAs available: a healthcare account and a dependent care account.
To be eligible to participate in a Health Care FSA, you can be enrolled in the Blue HPN medical plan or the PPO 80/20 medical plan. Employees enrolled in the High Deductible Health Plan and not eligible for the Health Savings Account (HSA) are eligible to participate in the Health Care FSA. Enrollment is available during the following times:
- During our annual Benefits Open Enrollment, or
- Within 31 days of experiencing a qualifying life event.
- Enrollment in an FSA is an annual election that expires at the end of the plan year. Re-enrollment is required to participate the following year.
- Enrollment in the FSA is via the Online Enrollment through WINGS Express.
- You will select a per pay period amount which will be deducted from your paycheck over 12 monthly pays for salaried employees and 24 pay periods (2 pays per month) for biweekly paid employees.
- The only other time to take advantage of an FSA is within 31 days of experiencing a qualifying event, such as birth, marriage, loss of healthcare coverage, etc.
The 2024 annual contribution limit is $3,200. Your full annual election amount is available starting January 1, 2024. Enrollment is required each year to participate. To utilize funds from your account, the expenses you claim must be eligible under IRS regulations, incurred during the tax year (January 1 through December 31), and submitted to Navia Benefit Solutions by the following March 31.
At the end of each year, up to $640 of unused Health Care FSA funds will carry over to be used in the following plan year. Any remaining funds over $640 are forfeited.
Examples of eligible expenses:
- deductibles and coinsurance
- over-the-counter medicines (e.g., cold or pain meds)
- menstrual products
- hearing aids and related expenses
- dental care and orthodontia
- vision exams, eyewear, or vision surgery
The following are examples of expenses not allowed by IRS regulations:
- HDHP Plan Deductible
- over-the-counter vitamins and supplements
- cosmetic procedures
- exercise equipment (unless accompanied by a medical diagnosis and a prescription)
Your entire annual contribution will be available starting January 1, 2024. There are two ways to use the funds in your account. You may:
- Use the Navia Benefits debit card to pay at the time of purchase or service. All Health Care FSA participants automatically receive a Navia Benefit Solutions card—a debit-type Visa card that allows you to pay for purchases and services from your Health Care FSA.
- Request Reimbursement for Out-of-Pocket Expenses. You can pay for eligible health care expenses and then submit claims for reimbursement by logging in to naviabenefits.com or by submitting an FSA Claim Form to Navia Benefit Solutions. Both must include supporting documents, such as a receipt for payment from your provider or retailer. To utilize this option, you must first authorize Navia Benefit Solutions to direct deposit your reimbursements by logging on to naviabenefits.com.
The Dependent Care FSA allows you to set aside tax-free money for daycare expenses for your dependents that allow you and your spouse to work. Contributions are elected on an annual calendar year basis, and cannot be changed during the year unless you experience an IRS-defined qualifying life event.
The 2024 annual contribution limit is $5,000 per household. Spouses can each elect participation in the Dependent Care FSA, but their combined elections cannot exceed $5,000 ($2,500 each for married employees who file their income taxes separately).
Enrollment is required each year to participate. Participation is not automatic.
To be reimbursed from your account, the expenses must be eligible under IRS regulations and incurred between January 1 and December 31, 2024. Claims must be submitted to Navia Benefit Solutions by March 31 of the following year. Daycare services cannot be reimbursed before they are incurred, even when the daycare provider requires payment in advance.
Unused 2024 Dependent Care FSA contributions are forfeited under IRS regulations. They cannot be "rolled over" beyond the plan year.
Daycare expenses must be for one of the following types of dependents to be considered eligible:
- Children: tax dependents under the age of 13
- Spouse: who is physically or mentally unable to care for themselves
- Elders/Adults: tax dependents who are physically or mentally unable to care for themselves
The following are examples of IRS-allowed daycare expenses:
- Nursery school, preschool, or similar programs for children below the level of kindergarten
- Before or after school care of a child in grade K or above
- Summer or overnight camp during working hours (for children under age 13)
- The household employee whose services include the care of a qualifying person
- Application or registration fees, deposits, and fees paid to reserve a spot in a daycare center
The following are examples of expenses not allowed by IRS regulations:
- Expenses paid for but not yet incurred
- Kindergarten or private school tuition
- Overnight camp during non-working hours
- Summer school or tutoring programs
Accessing Your Dependent Care FSA Funds
You fund your account throughout the year through equal pre-tax payroll deductions and can access the funds for reimbursement as they are deposited. There are two ways to use the funds in your account. You may:
- Use the Navia Benefits debit card to pay for eligible expenses. All Dependent Care FSA participants automatically receive a Navia Benefit Solutions card—a debit-type Visa card that allows you to pay for eligible expenses from your Dependent Care FSA.
- Request Reimbursement for Out-of-Pocket Expenses. When you incur an eligible expense, you can pay out-of-pocket and then submit claims for reimbursement by logging in to naviabenefits.com or by submitting an FSA Claim Form to Navia Benefit Solutions. Both must include supporting documents, such as a receipt for payment from your daycare provider. To utilize this option, you must first authorize Navia Benefit Solutions to direct deposit your reimbursements by logging on to naviabenefits.com.
Further questions about Flexible Spending Accounts can be directed to Navia's customer service team at 800-669-3539 or firstname.lastname@example.org.
Disclaimer: The benefits information contained in this site provides a summary for employees of Wright State. This information does not list all the provisions and does not supersede the individual provisions of our group insurance contracts, benefit plans and university policies that it describes. Similarly, the information presented does not guarantee that the university, the state of Ohio, and/or others responsible for these contracts, plans, programs, and policies will not make future changes in the provisions applicable to each.