Flexible Spending Accounts


For State Employees Only


Vendor – NueSynergy – www.KansasFSA.com

New! Now Carryover up to $500 in unused Healthcare or Limited Purpose FSA Funds
No more worrying about losing unused funds.  FSA participants can now carryover up to $500 of remaining funds in a health FSA into the next plan year.   These funds can be reimbursed to plan participants for qualified medical expenses incurred during the following plan year. The State Employee Health Plan has adopted a provision that will replace the Grace Period and allow you to carry over up to $500 of unused Healthcare or Limited Purpose FSA funds into a new FSA plan 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 are forfeited.  The carryover will not count against your annual election and your cumulative carryover balance from year to year cannot exceed $500.

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 claims against your 2015 Plan Year balance is April 30, 2016.

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, 2016, to submit documentation for reimbursement of Plan Year 2015 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, 2015; 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

Minimum

Maximum

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

$8.00/
$192.00

$104.16/
$2,500.00

16 deduction period (at regents) / deduction
16 deduction period (at regents) / year

$12.00/
$192.00

$156.25/
$2,500.00


Dependent Care Flexible Spending Account

Minimum

Maximum

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

$16.00/
$384.00

$208.33*/
$5,000.00*

16 deduction period (at regents) / deduction
16 deduction period (at regents) / year

$24.00/
$384.00

$312.50*/
$5,000.00*

* Subject to tax filing status

NueSynergy

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