Administered by:

Eagles, Benefits By Design, Inc. (Eagles)
2336 SE Ocean Blvd., Suite 301
Stuart, FL 34996
1-800-726-5603
FAX: 1-772-334-7059
www.eaglesbenefits.com

Why use a flexible spending account?
Think of your pretax spending account as a savings account that you contribute to on a pretax basis which will reimburse you for your family’s out-of-pocket medical, dental and vision expenses and/or your daycare expenses. Each pay period, you allocate a predetermined sum of your gross income to deposit into your reimbursement account. When you have an out-of-pocket expense, you are reimbursed from your flexible spending account. There are two types of accounts available: Medical and Dependent Care.

Possible Savings Using FLEX Accounts

Medical Reimbursement Account

• Designed to pay for expenses such as deductibles, co-payments, dental work, orthodontics, eye exams, glasses, prescription drugs and other related expenses not covered by an employer’s benefit plan.
• The account is open to your spouse and dependents regardless of whether they are covered by any other benefits offered by your employer.

Dependent Care Reimbursement Account

• You may be reimbursed up to $5,000 of day-care or dependent care expenses each plan year.
• Qualifying dependents are children under the age of 13, a disabled spouse or other dependents who are physically or mentally incapable of self-care.
• Both you and your spouse must work or one must be a full-time student.

How do flexible spending accounts work?

During the enrollment period each year, you must calculate your deposits for each flexible spending account by estimating what your out-of-pocket expenses will be for the coming year. The total of those expenses is divided by the number of pay periods during the plan year. That amount will be deducted from your gross pay each pay period (tax free) and deposited into your reimbursement account. When you have an expense, fill out a reimbursement form, attach your receipts and Explanation of Benefits from your insurance company, then mail them to Eagles and you will receive a check or direct deposit from your Flexible Spending Account. A summary of your account status will accompany each payment you receive.

You will also plan your daycare expenses for the coming year and divide that amount by the number of pay periods in the year. That amount will be deducted pre-tax from your paycheck. When you incur a dependent care expense, complete and return a No-Wait Dependent Care Reimbursement form and a check will be mailed or a direct deposit initiated to you. Please note that you will only be reimbursed up to the amount actually in your Dependent Care Spending Account. Any reimbursement requested beyond your current balance will not be paid until further contributions are received. Unlike the Medical Spending Account, the Dependent Care Spending Account cannot be overdrawn.

Special Rules

There are three rules that apply to the flexible spending accounts. First, the use it or lose it rule applies primarily to the medical spending account. Under this rule any unused amounts in your account at the end of the plan year are forfeited to your employer. You cannot convert this money to cash or roll it over the next plan year. You may submit claims from the current plan year through your grace period. This rule means you must be very careful when estimating the amount of money you allocate to your spending account.

The status change rule applies to both accounts. Once you submit your enrollment form with your payroll deduction amount, you can only change this amount during the yearly open enrollment period or if you experience a qualified event.

The third rule applies to the medical spending account only, and is one of the most attractive features of the plan. The medical spending account will reimburse you for the total amount that you have budgeted for the plan year regardless of the actual balance in your account. For example: If you budget $1,200 for the year and two months into the plan year you have an expense of $400, the plan will send you the $400 even though you have contributed for only two months and have $200 in your account. Your account will show a negative balance, which you will pay back each pay period with your deposits to the account.

Qualified Events

• Marriage, divorce or death of a spouse.
• Birth, adoption or death of a child.
• Spouse’s employment or termination of a spouse’s employment.
• An unpaid leave of absence for either the employee or the spouse.
• The employee or spouse changes work status from part time to full time, or full time to part time.
• Medical Reimbursement - Significant changes made to your health care plan or your spouse’s health care plan.
• Dependent Care Reimbursement - The rate charged by your care provider changes or your dependent no longer requires care.
• Annual employment under another employer's plan.

Keep track of your account balances

MyFlexOnline has everything you need to manage your Flexible Benefit Account.

• Verify your election
• View your account balance
• Print blank claim forms
  

How to enroll

Contributions to your account(s) will be deducted from your paycheck. Once you elect coverage, it will continue for one year unless there is a qualified event change, such as death, marriage, divorce or birth that requires you to modify your election.

You may only elect a Medical Flexible Spending Account one time per year. If you drop the account for any reason (i.e. leave of absence or change in status), you may not pick it up again within the same year. You may, however, elect it during Open Enrollment for the following plan year.

You can have your reimbursement money deposited directly into your checking or savings account. The form is on the website: www.eaglesbenefits.com under the button for “flex forms”.

The benefits described above provide only a limited and general overview of this plan. For a complete description of the plan provisions, please see a current copy of the Benefits Booklet.

Claim forms can be obtained at the website, as well as seeing your account online. Qualified expenses are also listed as well as many other useful tools.

OPTIONAL VISA "TAKE CARE" CARD PROGRAM

The Martin County School District offers employees with Flexible Spending Accounts (FSAs) the option of participating in the Visa "Take Care" Card Program. The Visa "Take Care" Card Program is a debit card that can be used by FSA participants to pay for certain un-reimbursed medical expenses and dependent care expenses from funds in their FSAs. The "Take Care" card looks like a Visa card and gives you the option of immediately paying for qualified expenses from your FSA at the time the charge is incurred instead of paying the expenses out-of-pocket and manually submitting a claim for reimbursement.

This guide has been designed to help you understand how the "Take Care" card works in conjunction with your FSAs.

For any other questions regarding the "Take Care" card or the FSAs, please contact the District's FSA plan administrator:

Eagles, Benefits By Design
Customer Service: (800)726-5603 or (772)334-3995
Fax: (772)334-7059