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 give employees a choice of paying for medical coverage with after-tax money during an FMLA leave or reimbursing us for premiums when they return from leave. An employee
Q.- We give employees a choice of paying for medical coverage with after-tax money during an FMLA leave or reimbursing us for premiums when they return from leave. An employee elected to pay during leave, but she paid one month of premium and then didn’t pay anything else. Do we give her a COBRA election now?
A.- Failure to pay premiums for medical/dental coverage during an FMLA leave is not a COBRA qualifying event. If the employee does not return to work after FMLA leave, that would be a COBRA qualifying event and COBRA would be offered at that time. We suggest you consult legal counsel if you intend to terminate benefits during an FMLA leave of absence.
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.