FSA Reimbursement for Non-Covered Spouse
Health FSA funds may generally be used to reimburse eligible medical expenses for a spouse or qualifying dependents even if they are not enrolled in the employer's health plan.
Questions about your benefits? Contact your HR administrator.
The IRS requires specific documentation for reimbursement from a dependent day care flexible spending account plan.
A dependent day care flexible spending account (FSA) is a pre-tax benefit account that helps employees pay for eligible child care or dependent care expenses. These accounts allow employees to set aside pre-tax dollars to cover expenses for daycare, preschool, after-school programs, and elder care for qualifying dependents.
To be eligible for reimbursement, expenses must be incurred (not just paid) while the employee and, if applicable, their spouse are working, looking for work, or attending school full-time. The dependent must be under the age of 13 or an adult dependent who is physically or mentally unable to care for themselves.
If you use BAS for FSA administration services, the following rules apply.
To ensure a smooth reimbursement process, employees must submit a completed dependent day care FSA claim form along with supporting documentation. Here’s what should be included:
Dependent day care FSA claim form: A separate form is required for each dependent.
The form must be signed and dated by the employee.
Dependent’s information: Provide the name of the qualifying dependent for whom care was provided.
Provider’s information: The provider must sign and date the claim form.
Alternatively, a receipt from the provider can be submitted.
Taxpayer identification number (TIN) or social security number (SSN): The provider’s TIN or SSN must be included.
If unavailable, a statement explaining your attempt to obtain it is required.
Description of services: A brief explanation of the services provided (e.g., daycare, elder care).
Claim amount: Enter the total amount requested for reimbursement.
Supporting documentation: Receipts or other proof of expenses incurred.
If the care provider signs and dates the claim form, receipts are not required. However, if the provider does not sign the form, you must submit receipts containing:
If your provider does not give you their TIN or SSN, you must:
By following these guidelines, employees can ensure a smooth and timely dependent day care FSA reimbursement process. If you have any questions, please reach out to HR for further assistance.
Benefit Allocation Systems (BAS) provides online solutions for: Employee Benefits Enrollment; COBRA; Flexible Spending Accounts (FSAs); Health Reimbursement Accounts (HRAs); Leave of Absence Premium Billing (LOA); Affordable Care Act Record Keeping, Compliance & IRS Reporting (ACA); Group Insurance Premium Billing; Property & Casualty Premium Billing; and Payroll Integration.
MyEnroll360 integrates with major insurance carriers for enrollment eligibility management (e.g., Blue Cross, Blue Shield, Aetna, United Health Care, Kaiser, CIGNA and others), and with leading payroll platforms for enrollment deduction management (e.g., Workday, ADP, Paylocity, PayCor, UKG, and others).
This article is for informational purposes only and is not intended as legal, tax, or benefits advice. Readers should not rely on this information for taking (or not taking) any action relating to employment, compliance, or benefits. Always consult with a qualified professional before making decisions based on this content.