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.
2022 Employee Benefit Guide 2023 Employee Benefit Guide
Monday through Friday, 7 a.m.-7 p.m. CST
Saturday, 9 a.m. to 2 p.m CST
Before you send:
- Attach your receipt. A separate form much be completed for each person
- Send or fax to Payflex.
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.
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.