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 terminated employment and is receiving a COBRA election. She was on our buy-up plan but says she wants to have our standard plan under COBRA. Do we have to offer
Q.- An employee terminated employment and is receiving a COBRA election. She was on our buy-up plan but says she wants to have our standard plan under COBRA. Do we have to offer her continuation coverage in the standard plan?
A.- No. The continuant is offered the opportunity to continue coverage under the plan in which she was enrolled as an active employee. So long as the employee can utilize the coverage in the buy-up plan (for example, she did not move out of the coverage area), you only have to offer her the right to continue coverage in the plan in which she was enrolled. She may have to be offered the opportunity to switch coverage at the open enrollment period offered to similarly situated active employees.
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.