FSA PURPOSES?
TIMELINES FOR FSA
FSA CHANGES?
ELIGIBLE EXPENSES
REIMBURSMENTS
100

 Medical FSA ; Limited Medical FSA ; Post Deductible Limited FSA ; Dependent Care FSA

What type of FSA accounts are offered?

100

3-5 business days

What is claims processing timeframe?

100

Life-changing event

What is known as a life-event or a change in status?

100
  • Medical
  • Dental
  • Orthodontics
  • Vision
  • Prescription drugs
  • Over-the-Counter Supplies
  • Deductible / Co-Pays / Coinsurance

What are Examples of eligible HCFSA expenses?

100

Date of Service
Description of Service
Provider's Name
Patient's Name
Cost of Service

What is required information for a Receipt Claim?

200

Covers Medical Expenses; Prescription/OTC Drugs; Medical Supplies; Transportation; Durable Medical Equipment; Dental & Vision Expenses

What is a Medical FSA?

200

12 months

How long is a standard FSA plan year?

200

Birth and/or Adoption

What is a new life?

200
  • Patient Name
  • Specific Recommended Treatment - If for vitamins or supplements – each item must be listed individually
  • Diagnosis - Medical Necessity or Medically Necessary or Medically Recommended are acceptable diagnosis descriptions
  • Provider Name
  • Date of treatment
  • Address
  • Phone number

What are elements of a valid Letter of Medical Necessity?

200

Participants must register for the BRIWEB portal, BRIMOBILE app to access, including;mail or email

What is a Claims submission

300

Covers Dental & Vision expenses only ; including related OTC drugs and medical supplies if allowed by plan 

What is a Limited Medical FSA?

300

2.5 months

What is the maximum time limit for grace periods?

300

Change in the spouse’s employment status that affects eligibility for benefits.

 What is a qualifying life event?

300

One year unless told otherwise via Provider

How long is a Letter or Medical Necessity valid?

300

The review will be conducted by someone different from the original decision-makers and without deference to any prior decision. If after review, the claim is still deemed ineligible per the state’s plan and/or Internal Revenue Service (IRS) regulations, and we continue to deny the claim, you will be notified in writing.

What is an Appeal

400

Covers only Dental and Vision expenses until the medical deductible is met, then extends coverage to include medical and pharmacy, including over-the-counter expenses.

What is a Post Deductible Limited FSA?

400

5 years

How long is the beniversal debit card valid for?

400

They could increase deductions when family members have been added or decrease deductions in the case of divorce or death.

What is added, or take away for a family member?

400

Lip balm with SPF 15 or higher

What Lip balms are eligible expenses?

400

Past the run-out period
Termed account
Ineligible expense
Teeth whitening products
Electric toothbrushes

What are examples of a "True Denial

500

Covers work-related eligible dependent care services 

What is a Dependent Care FSA?

500

1 year unless directed otherwise

How long is your LOMN eligible?

500

An annulment

What is legal or religious procedure that declares a marriage, contract, or election null, void, and retroactively invalid?

500

If the plan participant is fulfilling the role the medical expenses not paid by insurance or the adoptive parents are eligible medical expenses.

What Surrogate Mother Fees are eligible expenses?

500

Accounts that have over $500 in outstanding receipt requests will not receive a courtesy unsuspension; the accountholder MUST submit the outstanding receipts if card in SUSPENSION STATUS.

What is a Card Suspension