FSA Claim Information

Back to top

Healthcare Expense Claims

Required Documentation

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.

Documentation must accompany your claim unless you're using the Automatic Reimbursement option.

Deadlines

Expenses must be incurred by Dec 31st of the plan year. See Annual reimbursement maximums.

Back to top

Dependent Care Expense Claims

Required Documentation

Documentation must accompany your claim unless you're using the Automatic Reimbursement option.

  • Copies of proof that you have paid the expense in-full for the service you are claiming.

Deadlines

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 maximums

Back to top

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.

Back to top

Ways to Get 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 claim forms 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.

Back to top

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

Read more: 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, the 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 the 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 the separation date, no ability to incur expenses unless working for another employer or actively looking for work.
Back to top