Flex Spending Program - Employee Benefits Corp.

Employee Benefits Corporation
1350 Deming Way, Suite 300
Middleton, WI  53562
(800) 346-2126
www.ebcflex.com


***NEW BENEFITS CARD AUGUST 1, 2016***


OPEN ENROLLMENT FOR 2017
Open Enrollment Period - November 16th - November 30th, 2016


How Can This Plan Save You Money?"
The BestFlex Plan, an IRS-approved Section 125 Cafeteria benefit plan, provides employees with tax-free savings on out-of-pocket health/dental "medical" and "dependent" care expenses.

How Is This Tax-Free?
The employee calculates their BESTflex "enrollment" amount by determining how much out-of-pocket medical and/or dependent expenses they will occur.  This amount will not count as taxable income on the employee's payroll; therefore, the employee will have more take-home pay.  NOTE:  Annual enrollment is for estimated expenses incurred during a calendar year.

Eligibility and Maximum Elections

Employees hired to work at least 20 hours per week
Medical Maximum - $2,550 per calendar year + $500 rollover option into the next calendar year
Dependent Care Maximum - $5,000 per calendar year

Enrollment Period and Plan Year
  1. Upon Hire for remainder of calendar year
  2. Open Enrollment Period Annually (mid November each year)
  3. Mid-year for a permitted election change - contact Payroll & Benefits  

Electronic Web-Based Sign Up
Open enrollment occurs in mid-November and is announced via email.  

Insurance Premium Payroll Deductions
Employees paying health and/or dental insurance premiums through the district will have these premiums automatically deducted pre-tax via payroll.

More Information
Summary Plan Description
Summary of Plan Description FSA Rollover Addendum
"Think FSA" Powerpoint
Benny Card Brochure
Claim Documentation Requirements
Eligible Expense List
Employee Election Estimate Worksheet
Flex Enrollment Guide
Year End Claims Information


Enrollment/Claim Forms/Receipts
Flex Enrollment Form
Direct Deposit Form
Flex Claim Form
Dependent Care Expense Receipt
Orthodontic Expense Receipt
Letter of Medical Necessity Form
Medical Mileage Expense Receipt
Special Food Expense Form

Account Management Tools
My Account Assistant Portal
My Account Assistant Instructional Flyer