1500 Marilla Street | 4FN | Dallas, TX 75201 Tel: 214-670-3659 Financial Transparency default- Financial Transparency Home Page 0000041865 00000 n 3) After selecting "Documents and Forms" you will be directed to a screen that looks similar to the image below. 0000059187 00000 n If the merchant does not accept the card, submit the expense through the HSA Bank website (www.hsabank.com) or by mail. HlN1E+c'N^-TV3h/:L8cy Make a difference with your change - lead with ingenuity! 65 0 obj <> endobj 0000029666 00000 n This guide will help you get started with Your Spending Account (YSA) a website you can use to manage your retiree Health Reimbursement Account (HRA) whenever and wherever it's most convenient for you. And free to you. prescription and office visit co-pays, lab fees, glasses, contacts, dental services, over-the-counter products, etc.). 414. Unlike Medical Spending FSAs and Limited- Purpose FSAs, Dependent Care FSAs may only reimburse expenses up to the amount you have contributed to date. You are responsible for verifying your HSA was used for eligible medical expenses under the IRS tax code. The card will hold Medical Spending and/or Limited-Purpose funds. Sending Your Claim to Your Spending Account Send this form and your documentation to Your Spending Account by fax or mail. You must be enrolled in a high-deductible health plan to participate. endobj If youre are enrolled in Consumer Directed HealthSelect and are interested in setting aside money on a pre-tax basis for eligible dental and vision expenses, check out the TexFlex limited-purpose FSA. Employer Name: Employee Name: SSN: Phone: Email: Medical Expense Claims (FSA, or Employer funded HRA) Dependent Day Care Claims Account Type FSA HRA Date Expense Incurred Name of Person Receiving Medical Service Provider Name 0000001858 00000 n %PDF-1.6 % 0000029339 00000 n Fax: 1-888-211-9900 Mail: Your Spending Account P.O. Jj>`avp 78L` Box 64030 The Woodlands, TX 77387-4030 If faxing, be sure to place this form before your receipts and don't include a cover letter. how do i choose my seat on alaska airlines? 125 0 obj <>stream After submission, you will be asked which method of reimbursement you prefer (electronic transfer, check, etc.). Paid Family Leave. Keep your receipts and invoices. BL@Ma Draw your signature or initials, place it in the corresponding field and save the changes. Smart-Choice The Woodlands, TX 77387 Health Savings Account administration Smart-Choice Accounts PO Box 64009 -4009 Human Resources Centre (HRC): 1-888-927-7700 BMO U.S. Benefits Enrolling and making changes to your annual . You may be required to submit documentation of your expenditures. endstream endobj startxref According to Aon and YSA, any mail received at the old address is automatically forwarded to the new address. Ordinarily, these expenses are paid with after-tax money. Details. xH&c$CNRKW3suU/gz_?];7}>xrkUeh]~e6kPU+Wqv88[w]=wg]]^~pQU:HK)\xwv};Co]qo_ h`3V}s"_G02(JH(gS^mHF*J6ic$QhneP_28|( 9RNRMU&iL\Tk+#zwV" The TexFlex health care FSA is administered by PayFlex Systems, Inc. To learn more about this FSA visit the TexFlex website or call TexFlex Customer Care toll-free at (866) 353 -9839 (TTY:711). 6,804 open jobs for Spending account in Dallas. Wb"77Su,1 U@k~l-[6rn20mn" =5ui{l; z|c8bz~'m>4#YWi)Ax0(a,j{Ut8i3{^H:}BWcBIa`V]_,SQ!oCC:{sa;Ua,MsNePg : N>O^Yc*:fIy ~DD&ugP}DZz$f\x.Afb2`FI`'FK1G`Ph=9/8bQom Fha\{^%t O2 I[nQx5y&bDiD6('S8SI44@gH{smBA*M:JO[ Yw7 yo6 2{dV your spending account dallas, tx. TTY: 711 %%EOF Phone: (214) 653-7638 Fax: (214) 653-7608. 1) Register or log into your employer's Spending Account website. 0000050141 00000 n 0000021304 00000 n 0000038905 00000 n 0000050266 00000 n Visit www.hsabank.com for a list of eligible expenses and to set up direct deposit for expense reimbursement. Get Form Search Spending accounts jobs in Dallas, TX with company ratings & salaries. The entire annual amount you elect may be used at any time during the plan year and is available January 1. trailer HlTI0qgd{i*1%Mi9FzyJhTPISs7B YkO%G, (^q =75@y8)z;$|$[PTf^ kD9J #zn_1_[nF N /qR41>_,C69"YE-[akck}Ut\(:"jYMQGCPk9rtEua? =7XA2|{.X0i)i 0000002974 00000 n Legal Information | Privacy Statement | About this Site 2023 Alight Solutions plc $ bL4FMHjDS{=EnWPLDR*Z}TT#Z%YHg H-djcLYb-yBHMHVj6dg'W"XAHpFHicHF &?_$P $YlyEr,X)nCwew &(vIDk9@UUXWo59.AXVI&G{1Iu! Hs C:rtU* gq5M-SPLDIZ You cannot submit claims for services received after your departure date. 0000011883 00000 n Posted 6 days ago Machine Operator Positions Futamura 3.2 Topeka, KS From $30 an hour Full-time Day shift + 2 The annual maximum contribution to a Dependent Care FSA is $5,000 (or. Members Report Fall Newsletter Now Available, OP&F Pre-Retirement Webinar video now available. 0000050880 00000 n Representatives are available to assist you Monday through Friday, 7 a.m. to 7 p.m. CT and Saturday, 9 a.m. to 2 p.m. CT. Box 661147 Dallas, TX 75266-1147 Tel: (888) 611-5500 (toll free) Monday through Friday: 8 a.m. - 6 p.m. CT . endobj 0000032520 00000 n h80%Em w0a Toll-free: (877) 275-4377 <<345A0DA70B0308418CEB8C1CDDA1C003>]/Prev 332151/XRefStm 1690>> POSTED. x]Ks7Ja{ S1T)(eY,':{PllMn`( h/[(hO;Vh]J(QKSVZW>Tztrp|Xo=ATteUGGyYvwx^.-nw)jfYY]s|36tQLi86lNiO77opzv~c*Tf6vZKjx=xC.-uiSJ[jl- 6ZVA>>q&jP6b}iR4iHd(Cpu\e_'? Dental Plan. 0. endstream endobj 72 0 obj <>stream 0000029729 00000 n Contact Optum Bank for details. 0000002565 00000 n The TexFlex health care FSA is administered by PayFlex Systems, Inc. To learn more about this FSA visit the TexFlex website or call TexFlex Customer Care toll-free at (866)353-9839 (TTY:711). You are not covered by another medical plan (unless it is an HDP) or a general-purpose FSA. Flexible Spending Accounts. Posted 11/22/2019 Other News Local: (614) 228-2975 Customer Service: 1-888-864-8363 Fax: (614) 628-1777 Box 661147 Dallas , TX 75266-1147 Effective January 1, 2020, the paragraph Titled Agent for Services of Legal Process in the 0000050612 00000 n KY"X_Th[[TEe-wW The average salary for a account executive is $74,443 per year in Dallas, TX and $20,000 commission per year. Short term detention pending investigation as a consequence wisconsin form, How Do I Sign Vermont Finance & Tax Accounting Document, Help Me With Sign Vermont Finance & Tax Accounting Document, How Can I Sign Vermont Finance & Tax Accounting Document, Can I Sign Vermont Finance & Tax Accounting Document, How To Sign Vermont Finance & Tax Accounting Document. Contact Us | Help | Privacy Policy | ADA Statement. Decide on what kind of signature to create. See IRS Form 2441 Part III for details. The maximum annual Limited-Purpose FSA election is $2,750. Flexible Spending Accounts. All rights reserved. The health care FSA lets you set aside money on a pre-tax basisfor both you and your eligible dependentsto pay for eligible health, dental and vision expenses. The grace period does not apply, and you may not roll these funds into a Limited Purpose FSA for 2022. Document Type. hZrG}} Ey{S6` `$,?5VI&8O|=#dIn6%=3}vLEY0HeCtbLu*- 0000041523 00000 n 0000050063 00000 n When you elect this benefit, you will enjoy a tax savings because the money for these items is deducted before taxes. Select the area you want to sign and click. endstream endobj startxref %PDF-1.3 Your Spending Account is a trademark . Records Building - 500 Elm Street, Suite 4100, Dallas, TX 75202 Phone: (214) 653-7638 Fax: (214) 653-7608 The out-of-pocket medical and dependent care expenses that you pay each year can quickly add up to hundreds, or even thousands, of dollars. A TexFlexSM health care flexible spending account (FSA) is available to benefits-eligible employees not enrolled in Consumer Directed HealthSelectSM. Box 661147 Dallas, TX 75266-1147 If faxing, be sure to place the form before your itemized receipts and don't include a cover letter. Start completing the fillable fields and carefully type in required information. 0000038345 00000 n 2a`bd r.#L^ %PDF-1.4 % 70 56 endstream endobj 124 0 obj <>/Filter/FlateDecode/Index[5 65]/Length 20/Size 70/Type/XRef/W[1 1 1]>>stream Legal Information | Privacy Statement | About this Site 2023 Alight Solutions plc . 0000238976 00000 n The PEBC HDP is an HSA-eligible plan. 1 0 obj Seed money is not offered to those who add coverage in the high-deductible plan as a result of a mid-year qualifying event. Medical Spending/Limited Purpose reimbursement requests, as well as debit card transaction documentation, can be sent electronically, by fax, or by mail to HSA Bank. _:1UDU Health Spending Accounts. The out-of-pocket medical and dependent care expenses that you pay each year can quickly add up to hundreds, or even thousands, of dollars. If you are not eligible for HSA contributions for example, if you are enrolled in Medicare the seed money contribution will go to an LP-FSA. LOCATION. these need to be directed to hrbenefits@dallascityhall.com. QFZ%us.7r?:7{7Zq u9s endstream endobj 71 0 obj <>/Metadata 3 0 R/Pages 2 0 R/StructTreeRoot 5 0 R/Type/Catalog/ViewerPreferences<>>> endobj 72 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 73 0 obj <> endobj 74 0 obj <> endobj 75 0 obj [/Separation/PANTONE#20137#20C 86 0 R<>] endobj 76 0 obj [/ICCBased 87 0 R] endobj 77 0 obj <>stream Employees/Retirees can direct questions regarding benefits to the 0000014590 00000 n HdUK!)S3*~ {Ucz$jRc4ZZ}Um2_%FnW.^?s10-5O]kZy\ R wYm0Tk+{S/lB! ;k`SEf?=M5D3:NL[- Y%l2r. 77 0 obj <>/Filter/FlateDecode/ID[<7C0EF33EDAADE1C3B0D9FABD37FA2AA8>]/Index[42 61]/Info 41 0 R/Length 138/Prev 119686/Root 43 0 R/Size 103/Type/XRef/W[1 2 1]>>stream 0000010668 00000 n Responsible Office(s) Employee Benefits. Open the email you received with the documents that need signing. The average salary for a account manager is $66,200 per year in Dallas, TX and $12,000 commission per year. Eligibility for the OP&F health care stipend: what to do when you have aQLE, Options available for retirement interviews, IRS using new versions of W-4P, W-4R for 2023 tax year, Member's Report Winter Newsletter Now Available. Dallas County. % 0 View all FAQs Savings Calculators An HSA will be opened with Optum Bank for all newly enrolled HSA participants. Learn about Dallas Independent School District Flexible Spending Account (FSA), including a description from the employer, and comments and ratings provided anonymously by current and former Dallas Independent School District employees. Use professional pre-built templates to fill in and sign documents online faster. Fax: (512) 867-7438. . kiL/o0[~A(V-+>%ieoUaooeyl \ Questions regarding plan information for active/pre65: 214-556-0971. %%EOF Ordinarily, these expenses are paid with after-tax money. 0000032931 00000 n After that, funds in excess of $570 will be lost so be sure to use them while you can. 4 0 obj Get access to thousands of forms. Find the extension in the Web Store and push, Click on the link to the document you want to design and select. This is the place to take action with Your Spending Account. Create an account using your email or sign in via Google or Facebook. Questions regarding Medicare Advantage Plan (MAPD): 877-299-1008 All other questions that cannot be answered by either of these need to be directed to hrbenefits@dallascityhall.com. .`9\Bs(|+p*l8=+)n'W=rj94 .E~u==&$b4lny^|l *DgN69pvhRk'[y|~^y,x1T`TM~7rn>:4ee&:.sX1&9EX!YT0rV)E^b,q$YcaSJT [0fURCQ"5Z Search CareerBuilder for Flexible Spending Account Plan Jobs in dallas,TX and browse our platform. 0 0000328120 00000 n All Rights Reserved. Your FSA funds may be used for qualified medical costs like copays and deductibles, prescriptions and some over-the-counter medicines, dependent care and more. If you have specific questions about your benefits, please contact the Human Resources Department at(214) 653-6579or(214) 653-6161. You can also make pretax contributions to your HSA, up to IRS limits, to help your account grow. 0000005093 00000 n Records Building - 500 Elm Street, Suite 4100, Dallas, TX 75202. @=2 6 2022 Medical, Dental, Vision and Prescription Active Employees. hb```V\af`0pHN@9(PsH 6s+s{}p=-z{FwYn^ (4hh@3V iq -tl2J870dNl`g*aQw\4uy4? W\[m{f-h9P6pqU+&]Usv8/ |_Y6~^bN#d5Z) fw%jmQ!l*z5wjb`Xxkn`q=g x_b2MDWwHrnFI*h;~'?v`y+gh17e No minimum balance fees. 0000013089 00000 n Is this useful? endstream endobj 66 0 obj <>>> endobj 67 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 68 0 obj <>stream Build loyalty and strengthen relationships with a powerful lineup of industry-leading benefits solutions. As of the 2010 census, the population was 2,368,139. 0000001416 00000 n &VkXHt9-@uO4,(+z(6 %% Deep integrations streamline the experience at every step. . 0000050024 00000 n This is an IRS rule. %%EOF Is this useful? Dependent care reimbursement for costs paid to day care and elder care providers. 70 0 obj <> endobj 8,033 open jobs for Spending accounts in Dallas. 0000014112 00000 n You are covered under an eligible high-deductible plan (like the HDP). Traditional Health are Flexible Spending Account*); Box 64030 The Woodlands, TX 77387-4030 If faxing, be sure to place this form before your receipts and don't include a cover letter. 2 0 obj Apply to Administrative Assistant and more! HVnF|Wt8V`Hv^{PXfLOuuP@^,rOnEC'/\R@gg//hy<8 lN~N 0$xXOR~uJV:5y~DR s?gPo ;"U/|xu`VJ0|5wlrg8lU>?9x@7:H.>%e^q`{yu74u{~P@@' OLEB~(((N@K? FG U%KPc4WJ+ Additionally, any claim forms, communications or notices generated by YSA since the change have included the new address. Share on Facebook . 108 0 obj <>stream Dallas County is a county located in the U.S. state of Texas. Disability Coverage. stream 0000003758 00000 n To comply with HSA rules, your Limited- Purpose FSA may only be used to reimburse out-of-pocket dental and vision expenses for you, your spouse, and your dependents. You will have 90 days following your departure date to submit claims for expenses incurred before you left. 0000000016 00000 n If you use the card at an Inventory Information Approval System (IIAS) merchant, the transaction will be approved at the point of sale. The out-of-pocket medical and dependent care expenses that you pay each year can quickly add up to hundreds, or even thousands, of dollars. The Medical Spending FSA, Limited Purpose FSA, and Dependent Care FSA are separate. 6{3]b Life and Accident Plans. Spend it on your own terms. Its county seat is Dallas, which is also the third-largest city in Texas and the ninth-largest city in the United States. HELPFUL HINTS If the receipt is handwritten, it must include the service provider's signature. SHARES. Glassdoor is your resource for information about the Flexible Spending Account (FSA) benefits at Dallas Independent School District. It's free to use. Funds are available three business days after payroll deduction. 102 0 obj <>stream 0000009380 00000 n Select the area where you want to insert your signature and then draw it in the popup window. in dallas,TX. hbbd``b`@H~7 1s=q_* RqYW$$cAb@D+A\/ H2e`bd  =@a If you retire or otherwise leave City employment, your FSA funds will terminate on the date of your departure. following: Questions regarding plan information for active/pre65: 214-556-0971. <>>> When you enroll in the Medical Spending or Limited Purpose FSA, you will receive a debit card fromHSA Bank in the mail. Your Spending Account P.O. Download your copy, save it to the cloud, print it, or share it right from the editor. Job Type All; Full-Time; Part-Time; Contractor; Contract to Hire; Intern; Seasonal / Temp; Gig-Work; Date Posted 24 hours . HTK \* cJe17ioL}[8j ('96&|2"O+"q3vc$0n$v{&[zkT[R3jd3IC%I+I6;zN>*OfqQm~8M(0gngV>S(P4P Pension Plans. Search Spending account jobs in Dallas, TX with company ratings & salaries. Dependent Care FSA funds must be used by December 31, 2022, and all claims must be filed by March 31, 2023. xYF+*FQvxJIa 0000008111 00000 n Austin, Texas 78701-2982. 0000014737 00000 n All rights reserved. >E *8x)R}3ABlVeIoB~YC7=g=_SId8X UZKX Go to the Chrome Web Store and add the signNow extension to your browser. Once your account is opened, you will receive a Welcome Kit in the mail. The Section 125 Flexible Spending Account plan is administered by United Health Care (UHC). endstream endobj 69 0 obj <>stream Dallas County offers Flexible Spending Accounts (FSA) that allows you to use pretax salary dollars to pay for these expenses often at significant savings for your family. to Your Spending Account by fax or mail: Fax: (888) 211-9900 Mail: Your Spending Account P.O. 42 0 obj <> endobj If you have elected to contribute to an HSA in 2022, you may also enroll in a Limited-Purpose FSA, even though both accounts may reimburse dental and vision expenses. No fees at TCCU ATM's. Spend your days in paradise or spend some love to a special someone. 5 days ago. hbbbd`b`` f 2.3k. /YRxFI. Which plans are eligible for the OP&F stipend? These benefits are available to full time employees only. :~va*$# R1M{D=AY[7A[-]#k 0 The information below outlines the two types of Flexible Spending (FLEX) Accounts provided to employees. For dependent care, you must submit the expense through www.hsabank.com or by mail. 0000050534 00000 n in interesting facts about sam houston. An HSA is a savings account that you can use to help cover qualified health care expenses. Withdrawals made for qualified expenses are also income tax-free. UT Dallas; UT El Paso; UT Permian Basin; UT Rio Grande Valley; UT San Antonio; UT Tyler; Health Institutions. Click here to view the 2023 Active Employee Benefitspresentation. |ihb0re:U6dU+!YV7Bo2^#[ IPBCP")[n$e`OLO=}o@1]Y~cWTSW;SX. This is called the "use it or lose it" rule. 0000014814 00000 n Prescription Drugs Plan. 2022 Medical, Dental, Vision and Prescription Active Employees. The maximum annual Medical Spending FSA election is $2,750. 0000240494 00000 n However, there is a grace period ending March 15, 2023to use your 2022Medical Spending FSA or Limited Purpose FSA dollars on eligible expenses. Add the PDF you want to work with using your camera or cloud storage by clicking on the. Install the signNow application on your iOS device. No monthly maintenance fees. If the expense will be considered for insurance reimbursement, try to wait until you receive the Explanation of Benefits (EOB) from the insurance company to be sure that the debit card transaction is for the correct out-of-pocket amount. It is the second-most populous county in Texas and the ninth-most populous in the United States. 7R=nq(C(k[B%xpi 21 y?|/zg}v6eU$7H-BA9Tc.^FLx9X}*O:#f#AHCG&z7F 5$Bw 85K2qEN/F&&pf .\4h`.K"$n> 8/NkWu5W[Y% BxBifZiKb[[3S,uStWy|Kt355e9mwg\ruuh:zv$3_}D4t0jx&]Lim&ad|yQ2B$z^v:JA%NQM$_jnRLZE,O!o4z9>PjVtUV2r?MXkoL`.`oQh JssY~GhOnjV(;3Q+ E5vOC^7KWui5/fXVEn::e[n=}e:x7QD:II{g#6/:^% 0000037849 00000 n 2023 Employees Retirement System of Texas. Employee Assistance Program. For new employees, these seed money contributions are available as soon as possible once your HDP becomes effective. Your Medical Spending FSA may be used to reimburse out-of-pocket medical expenses for you, your spouse, and your dependents. Dallas, TX. Your flexible spending account (FSA) balance is yours to spend through December 31st of each year. __g 5j(]c;,mKK{x FG[ojl5kzW|S^}gdhg7_/b3-. }@2D8inx%'\#d;aT n$M4IAWDHl|"I@*x/#28}}?Qoe?IU6b3hM v':H,! Read our response. If you have a Your Spending Account online, you will be able to: It will NOT hold Dependent Care funds. .Li{~y:^}I|fT;_5JCZcp|3!Sru~Z pMgVi5nmh9uz^n>"nx}ZgCNgug*dwFq*&L6Q{T0;`fdOw#0Lq]HG6MS9GtAlxDCqqe[:Ql:8yAf_R]-Tgr:`D:$1M"XhjOPdfw{Zh)X^a`i%P5/^boB5cwuy?dzaF81:ayBWIe'h#]TMd>mP0 &/6TkzHT=AVtQh/KV : jv4q>#Gz8vM)/ral0'IlN,wj{{_6iznq>C,9K{R\:OWmKhFvm EZu ph` F Take a look inside. 0000005496 00000 n 90 0 obj <>/Filter/FlateDecode/ID[]/Index[65 44]/Info 64 0 R/Length 111/Prev 468601/Root 66 0 R/Size 109/Type/XRef/W[1 2 1]>>stream Note: If you currently participate in the Medical Spending FSA and elect the HSA medical plan for 2022, your FSA funds will expire on December 31, 2021. 2023. Your spending account is your checking account. :g5]0h>*4^"m$Ma}Y_n"a5Bz9ZKCN+1]UWTg^YzClC:wF2v sgT3jhxK.r1vt;;m>.#|cw[ZPj}:{+r&pCsaZzL)[_}P? Look through the document several times and make sure that all fields are completed with the correct information. 2) Select "Documents and Forms" from the left-hand navigation menu. New claims forms will also be sent that include updated information. If your account balance is $2,000 or more, you can choose to invest funds look for details in your Welcome Kit. Benefits Service Center1500 Marilla StreetRoom 1D-SouthDallas, Texas 75201Phone: 214-671-6947, Option 1Fax: 214-659-7098. All other questions that cannot be answered by either of With an HCFSA, you use pre-tax dollars to pay for qualified out-of-pocket health care expenses. All claims must be submitted by March 31, 2023. This benefit allows you to deduct money from your paychecks for: For additional information, please visit the Public Employees Benefits Cooperative (PEBC)website atwww.pebcinfo.com. Unlike an FSA, there is no use it or lose it rule and it comes with triple-tax benefits: For 2023, you can contribute $3,850 through payroll deduction if you have individual coverage or $7,750 if you have family coverage. Skip to Content Jobs Upload/Build Resume . If you enroll in the HDP during annual enrollment, your employer will make a one-time cash deposit to your HSA in January. 3 0 obj To enroll, you elect an amount to be deducted pre-tax from your paycheck over 24 pay periods and deposited into your FSA. hb``0a``K0D800 @1CKxGC/C` |FE_,sUl/001 *^#v F )" ,/+Y2Pu This is the place to take action with Your Spending Account. The plan helps you save money for health care and dependent care expenses. 0000002001 00000 n 0000268387 00000 n Ohio Police & Fire Pension Fund. 952 salaries reported, updated at January 29, 2023. startxref "b!bULZX |fX3X6{. VIEWS. The new address for YSA is: YSA will be sending official communication to members about the new address around during the first quarter of 2020. A Health Care FSA (HCFSA) is a pre-tax benefit account that's used to pay for eligible medical, dental, and vision care expenses that are not covered by your health care plan or elsewhere. << /Length 5 0 R /Filter /FlateDecode >> 0000032172 00000 n . It will help you learn more about your accounts and the reimbursement process involved with your financial activities. by. <> plans offer two major different flexible spending accounts focused on medical and dependent care expenses. The entire annual amount you elect may be used at any time during the plan year and is available January 1. 0000020691 00000 n %PDF-1.5 Search for the document you need to design on your device and upload it. Eligible expenses include deductibles, coinsurance and prescriptions. 0000029844 00000 n Spending Account Claim Form TOLL FREE: 888.868.FLEX (3539) myameriflex.com uYou can submit this data via myameriflex. Records Building - 500 Elm Street, Suite 4100, Dallas, TX 75202Phone: (214) 653-7638 Fax: (214) 653-7608. The address for Your Spending Account (YSA), who handles the health care stipend reimbursements for OP&F retirees, has changed. Generally, large pharmacies, grocery stores, and box stores (i.e. The Dependent Care FSA is used to reimburse you for certain expenses for children under age 13, or individuals unable to care for themselves. :Walgreens, Albertsons, Walmart) have IIAS capability. 0000006921 00000 n Create your signature, and apply it to the page. 4 0 obj endstream endobj 70 0 obj <>stream Apply. Health care reimbursement for qualified out-of-pocket health care expenses that are not covered by insurance (i.e. Then, you may request reimbursement from the account when eligible expenses are incurred. O;T hb``a``d`e`sXc`A3&0tt4 1Hx7@acq! ;LA(vrE3)!AQO!)^2c^" s? k&| Anb!uZ + You cannot be claimed as a dependent on someone elses tax return. 0000021016 00000 n Retirement Plan with Employer Match . 0000266869 00000 n You may also call 214-671-6947,Option 1. Poll shows public support for police and fire, HB 512, OP&F hosts flag raising ceremony on Saturday Sept. 10, New app will help OP&F retirees manage Health Reimbursement Arrangement, Independent audit report shows OP&F is well run, Members Report Summer Newsletter now available, Thin Blue Line offers an ACA accredited plan that is stipend-eligible for OP&F retirees, OP&F letter to ORSC regarding HB 512 analysis, Aon rebranding to Alight Retiree Health Solutions, ORSC: OP&F outperformed own benchmarks and peers in 2021, Members Report Spring Newsletter Now Available. Dallas County is joined with a cooperative insurance group along with other city and county agencies. Open the doc and select the page that needs to be signed. Vision Plan. 0000021227 00000 n 1.8k salaries reported, updated at February 15, 2023. To enroll, you elect an amount to be deducted pre-tax from your paycheck over 24 pay periods and deposited into your FSA. % In the United States, a flexible spending account (FSA), also known as a flexible spending Paper forms or an FSA debit card may be used to access the account funds. hWn6wQd(eI%nWI3rq(Crn`f&bB(fbb l0\09NPL&1GA2ibt#RDK.V($;ER6``B?Cos[4#-`cng`d=ldKT-,l][`b]h|Y1&~W;F8K?8$MIL\/f`f,v[pjRI5[,fj Questions regarding Medicare Advantage Plan (MAPD): 877-299-1008. Your Spending Account! 0000001690 00000 n 447 Flex Spending Account jobs available in Dallas, TX on Indeed.com.