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A flexible spending account, or FSA, administered by Navia Benefit Solutions, allows you to be reimbursed for certain out-of-pocket expenses without having federal income and Social Security taxes deducted from your account contributions. Fred Hutch and SCCA offer two types of FSAs:
The Dependent Care (Day Care) FSA is to reimburse for dependent care (daycare) expenses for your children (under age 13) or other qualified dependents, such as disabled parents. (If you're married, generally both you and your spouse must work in order to be eligible for this type of FSA.)
Submit FSA Claim Forms via fax, email, online submission tool, app or mail:
Navia Benefit Solutions
P.O. Box 53250
Bellevue, WA 98015-3250
To get reimbursed for qualifying out-of-pocket expenses, you must submit a claim form to Navia and attach proper documentation. The documentation must show the date of service, cost, and the type of expense you are claiming. Bills from providers or Explanation of Benefits statements from your insurance company are acceptable forms of documentation. Canceled checks and credit or debit card receipts usually are not.
The plan year runs July 1 to June 30. Effective July 1, 2018 the contributions are as follows:
Health Care FSA:
Dependent Care (Day Care) FSA:
Eligibility for the FSA plan is contingent on your employment and continued eligibility for benefits. If you terminate employment (or become ineligible for benefits) before the end of the plan year (June 30), your eligibility in the FSA ends.