About the program

If you are a benefit eligible employee, you have the opportunity to participate in a Flexible Spending Account, now administered by Payflex. Participants may elect to deduct up to a maximum of $2,750 per 12 month plan year for the purposes of receiving reimbursement for medical, dental and vision care expenses not covered by insurance.

Summary plan details Healthcare reimbursement plan Claim / Reimbursement Form

Payflex

1-844-729-3539
Monday through Friday, 7 a.m.-7 p.m. CST
Saturday, 9 a.m. to 2 p.m CST
payflex.com

Before you send:

  1. Attach your receipt. A separate form much be completed for each person
  2. Send or fax to Payflex.

Benefits 

Pre-tax deductions allowing for additional savings

The primary benefit of participating in the program is, deductions are taken on a pre tax basis allowing for additional tax savings. However, you should be aware that any unused dollars remaining in your Flexible Spending Account at the end of the plan year will be forfeited and are not available for return to the employee.

Allocations and allowances

Under IRS rules, changes to allocations may only be made for bonafide family status changes. You may use your TFBP allowance and/or “pre tax” dollars for this program. Expenses may be claimed for yourself, spouse and dependent children up to age 26, even if not covered under the Trinity medical, dental or vision plans and reimbursement is done by utilizing your PayFlex account card.

Estimating expenses

The worksheet on page 27 of the Benefits guide is designed to help you estimate medical care expenses not covered under a health insurance plan for the plan year. The expenses listed may have limitations or conditions that must be met before reimbursement is permitted.

Questions: If you have a question on whether an expense is covered under the Flexible Spending Account, please consult with PayFlex or Human Resources before including it in your election.