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.
Q.- An employee dropped her husband from health coverage at our open enrollment. Now the husband is asking to continue his coverage under COBRA. Should we have sent him a COBRA
Q.- An employee dropped her husband from health coverage at our open enrollment. Now the husband is asking to continue his coverage under COBRA. Should we have sent him a COBRA qualifying event notice?
A.- Probably not. COBRA coverage is available when an employee or dependent experiences a loss of coverage due to a qualifying event, such as termination of employment, reduction in hours, divorce or aging out of the plan.
If an employee voluntarily decided to terminate her spouse’s coverage during open enrollment, that would not qualify as a COBRA event. If the termination was, however, in anticipation of divorce, COBRA might have to be offered.
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.