FSA / HRA / HSA
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.
FSA / HRA / HSA
Question of the Week - Health FSA Reimbursements and the Uniform Coverage Rule
Q.- Do we have to reimburse an employee for the full amount of their annual Health FSA election if they have only made one payroll contribution so far?
**Q.- **Do we have to reimburse an employee for the full amount of their annualHealth FSA election if they have only made one payroll contribution so far?
**A.- **Yes. Under IRS Health FSA rules, the full annual election amount must beavailable to the employee at the beginning of the plan year, even if theemployee has only contributed a small portion of that amount through payrolldeductions at the time the expense is incurred. As long as the expense iseligible and incurred during the plan year while the employee is participatingin the Health FSA, the plan must reimburse up to the full annual election. Thisis known as the uniform coverage rule and it applies regardless of theemployee’s contribution schedule.
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.
Topics
COBRA
COBRA Offering to Retirees
When a covered employee becomes entitled to Medicare before retiring, a covered spouse may receive up to 36 months of COBRA continuation from the date of Medicare entitlement.
COBRA
COBRA Offering to Retirees
When a covered employee becomes entitled to Medicare before retirement, the spouse may be eligible for up to 36 months of COBRA continuation coverage.