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.- We just completed a dependent audit and found several dependents who were wrongly enrolled in our health coverage. When we remove the dependents, do we have to offer them
Q.- We just completed a dependent audit and found several dependents who were wrongly enrolled in our health coverage. When we remove the dependents, do we have to offer them COBRA coverage?
A.- If they are being removed because they don’t meet the definition of dependent under your health plan, that alone is not a COBRA qualifying event which would require a COBRA election. However, if you are removing a dependent child when they age out of the health plan or removing a spouse due to divorce, those could be COBRA qualifying events requiring an offer of COBRA continuation coverage.
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.