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.- Our employee was offered medical, dental and vision coverage under COBRA. He elected only medical and vision. He is now eligible for Medicare. Is he now eligible for an 18
Q.- Our employee was offered medical, dental and vision coverage under COBRA. He elected only medical and vision. He is now eligible for Medicare. Is he now eligible for an 18 month extension of dental and vision coverage?
A.- Probably not. Active employees enrolled in the dental and vision plans most likely would not lose coverage upon Medicare entitlement. The same rules would apply to someone who continued dental and vision coverage under COBRA. If vision and dental coverage under the active plan would not end upon Medicare entitlement, becoming entitled to Medicare would not be a second qualifying event for an extension of COBRA 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.