Not for municipalities

How does a FSA work?  Watch this Video.

Through the GIC's Health Care Spending Account (HCSA), administered by ASIFlex, active employees can pay for out-of-pocket health care expenses on a pre-tax basis. On average, state employees save $300 in federal and state taxes for every $1,000 contributed.

Eligible Expenses include:

  • Physician office visit and prescription drug copayments
  • Medical deductibles and coinsurance
  • Eyeglasses, prescription sunglasses, and contact lenses
  • Orthodontia and dental care
  • Hearing aids and durable medical equipment
  • Smoking cessation and child birth classes
  • Chiropractor and acupuncture visits

Download the Flexible Spending Account Brochure pdf format of FSAbrochurefall2015.pdf
 for an overview. For a comprehensive list of covered expenses, download the list of eligible expenses doc format of FSA_eligibleexpenses.doc
.  Use the HCSA worksheet docx format of HCSAexpenseworksheet.docx
to estimate your HCSA expenditures.  

All HCSA participants receive two free debit cards to conveniently pay for health care expenses out of their HCSA account. Additional cards for other covered dependents may be ordered for $5.00 per set of two cards. Alternatively, as you incur health care expenses, submit a claim form and receipt to ASIFlex. They will deposit the reimbursement to your bank account or will mail you a check, depending on whether or not you enroll in direct deposit. As required by the IRS, keep copies of all HCSA receipts with your tax documents. IRS substantiation requirements apply.

Eligibility and Monthly Fee

All active state employees who are eligible for GIC health benefits are eligible to enroll in the HCSA . Employees must work at least 18.75 hours in a 37.5-hour work week or 20 hours in a 40-hour work week. For the 2015 calendar year, the monthly administrative fee for HCSA alone, DCAP alone, or HCSA and DCAP combined $2.50 on a pre-tax basis.

Enrollment

New Employees
New state employees may enroll for partial-year benefits. For HCSA, new hire benefits begin at the same time as other GIC benefits.

HCSA & DCAP Open Enrollment

April 6  - May 4, 2016 for coverage Effective July 1, 2016

Open enrollment for Flexible Spending Account benefits will take place April 6 - May 4, 2016 for fiscal year benefits Effective July 1, 2016.  For the fiscal year, the maximum election amount for HCSA is 2,550 and the maximum DCAP election is $5,000. Participants must re-enroll each open enrollment period using the online enrollment form.

2 1/2 Month's Grace Period

You have until March 15, 2016 to incur claims for your 2015 remaining balance and to submit claims for the prior year until April 15, 2016. If you are enrolled in half-year benefits through June 30, 2016, you have until October 15, 2016 to submit claims for any remaining balances.

HCSA Questions?

Contact ASIFlex; 1-800-659-3035

Manage Your Account Online

ASIFlex website

  • Account Balances
  • Claims Received
  • Claims Processed
  • Dates when Checks were Paid
  • Download Forms

Handbook

2016 Flexible Spending Account Handbook doc format of 2016FSA_Participant_Handbook.doc


This information provided by the Group Insurance Commission .