Flexible Spending Account (FSA)
FSA ADMINISTRATOR: Navia Benefits
COMPANY CODE: BCI
FSA CONTACT INFO: 800-669-3539, www.naviabenefits.com
Submit FSA Claims- You may submit the required documentation (such as copies of your receipts) using one of the following methods:
Online- https://pebb.naviabenefits.com
Fax: 425-451-7002 or toll-free 1-866-535-9227
Email: claims@naviabenefits.com, Attach form and receipt.
Mail forms and documentation to: Navia Benefit Solutions, PO Box 53250 Bellevue, WA 98015-3250
Mobile App: Download the Navia app to submit claims electronically.
Health Care Flexible Spending Account
You can set aside pre-tax dollars for your out-of-pocket health care expenses, e.g. physician fees, prescription drug copayments, deductibles, dental expenses, prescription eyeglasses and contact lenses. These funds will be available for you to use at the beginning of the calendar year. See table below for annual maximum amount.
Limited Flexible Spending Account
Teammates enrolled in the HDHP plan can also enroll into a Limited FSA in addition to the HSA account. These funds will be available for you to use at the beginning of the calendar year. See table below for annual maximum amount.
A Limited FSA is used to pay for eligible dental and vision care expenses only.
Carryover feature for your Healthcare or Limited FSA.
Carryover amounts will be credited after your claim filling period.
Any Healthcare or Limited FSA funds in excess of the amounts above is subject to the Use it-or-Lose it rule and cannot be refunded to you.
*Important to Note - Since the FSA is a use-it-or-lose-it account, be sure to plan carefully so you do not end up with unused funds exceeding the carry-over limit at the end of the year.
Dependent Care Flexible Spending Account
For eligible dependent care (i.e. daycare) expenses, you can contribute up to $5,000 maximum annually if you are single or file your tax return jointly; $2,500 if you are married and filing your tax return separately. These funds are available to use as you contribute them. No carryover funds to the next year are allowed.
Should I contribute to FSA?
If you know that you will have medical expenses for the upcoming year, you can save money by contributing money to a FSA Account. For example, Max knows that he will be doing Lasik eye surgery next year, and will need to pay money out-of-pocket for the procedure. He decided to contribute $1,000, see below to see how the costs lay out:
Since Max ends up using all of the funds that he contributed to his FSA at the end of the year, Max saved $300!
ENROLLMENT INSTRUCTIONS
If you choose to enroll in the FSA plan(s), make your election in your benefits enrollment in Workday upon hire and annually during open enrollment. Navia Benefits, our FSA administrator, will send you a welcome email when your enrollment has been processed. Follow the instructions in that email to register for an online account with Navia Benefits. You will also be mailed a debit card as an added convenience for using your FSA funds.