FLEXIBLE SPENDING ACCOUNTS (FSA) OPEN ENROLLMENT INFORMATION

CALENDAR YEAR JANUARY 1, 2010 - DECEMBER 31, 2010

Enrollment Dates: October 12, 2009 - November 20, 2009

FSA Open Enrollment Form 2010 - send completed forms to MCCCD Benefits Office

Flexible Spending Account Open Enrollment Info    FSA PowerPoint Presentation

FSA Information and Guidelines - a brief description of the FSA plans   

FSA Q's & A's

Current participants will receive a letter with specific instructions on how to renew their current FSA accounts.  This information is being sent to the home address on file.

Eligible employees wishing to start an FSA for the first time may enroll by completing the FSA Open Enrollment Form and sending it to the Benefits Department.

Upon receipt of your enrollment form you will be sent an e-mail notification that your enrollment form has been received by the Benefits Department.  If you do not receive an e-mail confirmation by November 23rd, please call our office at 480-731-8463.

Eligibility Requirements

Health Care Flexible Spending Account

An employee must be a Board Approved regular employee who has worked for a minimum of two years and currently works a minimum of 20 hours per week to participate. Enrollment is during the FSA Open Enrollment period in October of each calendar year.  

Dependent Care Flexible Spending Account

An employee must be a Board Approved regular employee working a minimum of 20 hours per week to participate.  Enrollment  may be done when initially hired or during the FSA Open Enrollment period in October of each calendar year.  

My Flex - monitor your FSA Account online at www.zenithfsaphoenix.com

As a participant, you have access to your current Flexible Spending Account balances through the Zenith Administrators flexible spending account web site.  The FSA web site offers additional features to manage your FSA Accounts.

Health care and dependent care worksheets to help participants estimate expenses for the plan year.

Qualifying expense information.

View account balances, election amounts, and claims reimbursement details.

Participants will also have access to account balances, election amounts and claims reimbursement details through the Interactive Voice Response System (IVR).  To access the IVR system, call 1-866-206-2345 and follow the step-by-step instructions to access your Flexible Spending Account information.  You will need to use your MCCCD employee ID number plus zero even though the system will prompt you to use your social security number.

Participants preferring to speak with a live person will always have the option of contacting Zenith Administrators by phone at 602-336-2241 or 1-800-553-2801.

When setting up your account make sure to use your Employee ID number and add a zero at the end.  Do not use your social security number. 

Claiming Expenses

Automatic Reimbursement:

Zenith Administrators provides an option for participants who are covered under Maricopa Community College's medical plan to be automatically reimbursed for out-of-pocket medical expenses. Participants selecting this option will not have to submit reimbursement claim forms for eligible medical expenses submitted to Zenith Administrators by their medical providers. Examples of these expenses include co pays for physician office visits and coinsurance. Checks will be generated when the total reimbursement amount meets or exceeds the minimum $50.00 requirement.

Acceptable forms of proof of incurred expenses include the following:

Insurance company Explanation of Benefits (EOB) statement, pharmacy receipt or OTC (over-the-counter) receipt or a legible, detailed statement from the provider that includes the name of the provider, date service was provided, type of service, your out-of-pocket expense (amount not covered or reimbursed elsewhere), and the name of the employee or dependent for whom the service was provided.  When submitting dental receipts, those on Assurant, or any dental plan not sponsored by MCCCD, should supply a legible provider receipt (EOB if applicable), and those with MetLife dental should supply the Explanation of Benefits (EOB). 

	Canceled checks and credit card statements are not acceptable as supporting documentation.
	The services must have already been provided.
	Write your name and employee ID number on all documents.

Grace Period for submitting claims:

The IRS has recently established a new ruling (Notice 2005-42) to allow employers to grant FSA participants an additional 2 1/2 months (grace period) after the close of a plan year to use contributions that were unused during that plan year.

Example: The FSA participant has a $300 remaining balance in their health care FSA on December 31, 2007.  The FSA participant incurs a $350 health care expense on March 2, 2008.  The FSA participant can submit their $350 health care expense and $300 of the health care expense will be reimbursed from the 2007 health care FSA remaining balance.  The remaining $50 health care expense will be reimbursed from the participant's 2008 health care FSA if elected.

The deadline to file prior year claims is April 15th of the following year for eligible expenses incurred through the previous plan year (including the grace period). After April 15th, any remaining dollars are deleted from your prior year account.

Maximum Dollar Amounts

The maximum dollar amount that can be set aside is $6,000 for the health care account and $5,000 for the dependent care account. The combined maximum amount for spouses both employed by Maricopa Community Colleges is $5,000 for Dependent Care Flexible Spending Accounts.

Contributions to your Flexible Spending Accounts are pre-tax. This means that you cannot deduct qualified health care expenses and/or dependent care expenses reimbursed through your FSA when you file your Federal and/or State income tax returns.

All FSA CLAIM forms must be submitted to Zenith Administrators:

            Zenith Administrators

            2001 W. Camelback Road, Ste. B350

            Phoenix, AZ  85015

            Fax numbers:

            602-248-8301 (claim forms only)

602-589-5376 (claim forms only)

(Faxed claim forms are acceptable)

All FSA ENROLLMENT forms must be sent to MCCCD Compensation Office:

            MCCCD Compensation Dep't.

            2411 W. 14th Street

            Tempe, AZ 85281

            Fax: 480-731-8484

            (Faxed enrollment forms are acceptable)

Last modified: October 09, 2009

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