FSA Claim Information

 Maximum Contribution Limits 

Year

 

2023

2024

Health FSA  Annual limit$2,850$3,050
Carryover limit$570$570
Dependent Care FSA  $5,000$5,000

 Incurred expenses deadlines

Incurred Expenses Deadline
Dependent Care ExpensesHealthcare Expenses 
Expenses incurred by March 15th may be claimed as for the previous plan year if you were enrolled. Expenses incurred after March 15th of a year, may only be claimed as expenses for that plan year.  See Annual reimbursement maximumsExpenses must be incurred by Dec 31st of the plan year.
See Annual reimbursement maximums.

Required documentation

The following documentation (copies are acceptable) must accompany your claim unless you are utilizing the Automatic Reimbursement option. (Note: documents will not be returned):

Required Documentation
Dependent Care ExpensesHealthcare Expenses 
Copies of proof that you have paid the expense in-full for the service you are claiming.Copies of proof that you have received the service and what expense is your responsibility.  Insurance benefits statements may be used instead of original physician bills if the date of service and charges are shown. Receipts of payment that do not include date of service and charges are not acceptable. Copies of personal checks are not acceptable. Documentation or copies will not be returned.

Claim deadlines

Claims must be filed no later than April 15th or the next business day, if April 15 falls on a weekend. You may download claim forms from Forms & Documents or request from your human resource associate.

Ways to receive reimbursement

Reimbursement may be received by direct deposit into the bank account of your choice. By using direct deposit you don't need to wait for a check to arrive or get it deposited. A notice that a payment was made will be sent to you. This direct deposit notice is available by U.S. Mail or by e-mail over the Internet. If you prefer, a check can be mailed to you instead of payment by direct deposit.

Ways to Receive Reimbursements
Dependent Care ExpensesHealthcare Expenses
  • Mobile App (Note: Login is case sensitive)
  • Fax to 877-879-9038
  • Online (log onto your ASI account at http://asiflex.com/ and attach a pdf version of your supporting documentation to your claim request)
  • Send to: ASIFlex, PO Box 6044, Columbia, MO 65205-6044

Copies of proof that you have paid the expense in-full for the service you are claiming. ASI will review your claim and if approved, will reimburse you for the covered expenses with balance available. Payments are generally issued within one day of ASI’s receipt of your claim. Your bi-weekly contributions will continue for the remainder of the Plan year.

Payment is not limited to the amount in your account at the time of your claim but is limited to your annual election amount.

If I leave employment, can I still incur eligible expenses?

Ability to incur reimbursable expenses

  • Health FSA
    • Retired
      • Expenses incurred through the end of the month in which the last FSA contribution is made can be claimed. If prior to leaving, retiree prepays for the remainder of the year, expenses incurred through December 31 can be claimed.
    • Separated (non-retiree)
      • Expenses incurred through the end of the month in which the last FSA contribution is made can be claimed.
  • Dependent Care FSA
    • Retired
      • Expenses incurred up to the retirement date can be claimed. After retirement date, no ability to incur expenses unless working for another employer or actively looking for work.
    • Separated (non-retiree)
      • Expenses incurred up to the date of separation from employment can be claimed. After separation date, no ability to incur expenses  unless working for another employer or actively looking for work.