Flexible Spending Accounts

For State Employees Only

Vendor – NueSynergy – www.KansasFSA.com

Remember, annual FSA enrollment is an IRS requirement.
You must enroll each October during the open enrollment period. The new enrollment will become effective January 1.

The deadline to submit Dependent Care claims against your 2016 Plan Year balance is April 30, 2017.

Carryover up to $500 in unused Healthcare or Limited Purpose FSA Funds
FSA participants can carryover up to $500 of remaining FSA funds into the next plan year and those funds may be used for qualified medical expenses incurred during that year. This valuable feature gives you the flexibility to spend your FSA funds at a future date and reduces the likelihood that your unused funds will be forfeited.  The carryover will not count against your annual election and your cumulative carryover balance from year to year cannot exceed $500.

Remaining Health/Limited FSA funds will automatically be carried over to the type of FSA in which you are currently enrolled, as long as the balance is $25 or greater.  If the balance is below $25, funds will not automatically carryover and will only be accessible during the run out period.  After the run out period, any remaining balance will be forfeited.

If you are enrolling into an HSA for the first time in plan year 2016 and previously had a Healthcare FSA, your funds will automatically carryover into a Limited Scope FSA.

Save on eligible medical and daycare expenses.
To receive reimbursement for Dependent Care, you must submit your provider’s Social Security Number or Employer Identification Number (EIN). There is no grace period for the Dependent Care FSA. You have until April 30, 2017, to submit documentation for reimbursement of Plan Year 2016 dependent care expenses. Plan the amount you put into your FSA carefully so that it does not exceed the amount you are likely to pay for eligible expenses.

Easily access your FSA funds with direct deposit and free debit card
During enrollment, you’ll complete a mandatory direct-deposit form, and you can also elect to receive your free Kansas FSA debit card. By using your debit card, you’ll rarely have out-of-pocket expenses; you’ll have access to the full plan-year amount on January 1, 2016; and you’ll eliminate paper claim submissions. Remember, the debit card is not a paperless form of reimbursement. You may still have to submit supporting documentation for your expenses if requested by NueSynergy.

Note: Reimbursements are provided via direct deposit.
For more information, including tools and calculators, FAQs, eligible expenses, Direct Deposit setup forms and more, visit www.KansasFSA.com

Standard and Limited Purpose Health Care FSA

Health Care Flexible Spending Account



24 deduction period employees / deduction
24 deduction period employees / per year



Dependent Care Flexible Spending Account



24 deduction period employees / deduction
24 deduction period employees / per year



* Subject to tax filing status


Customer Service:  855-750-9440      Fax: 855-890-7238
E-mail: customerservice@nuesynergy.com
Website:  www.kansasfsa.com