Flexible Spending Account (FSA) Plan Debit Master Card

The optional “FSA Benny® Card” issued by ASIFlex, allows eligible HCRA participants to pay for out-of-pocket medical expenses (i.e., health, dental, vision, etc.) when issued as payment at Health Care Providers and at certain retail locations that have implemented an Inventory Control System, per Internal Revenue Service (IRS) regulations.

The administrative fee for the FSA Benny Card is $1.00 per month and is deducted directly from the employees HCRA account balance as a non-refundable, one-time lump sum amount (i.e., $12.00 if enrollment begins in January, and the amount is prorated if the enrollment begins after January).

Employees can request the FSA Benny Card by submitting a completed “FSA Debit Card Request” form to ASIFlex during this year’s open enrollment period, or during the 2013 Plan Year, or any plan year thereafter. FSA Benny Card request forms received during open enrollment will be issued in mid-January. Cards requested after this timeframe, or during mid-year, will typically be issued within 10-15 days of the receipt of the form.

Special Information Regarding Grace Period Claims and the FSA Benny Card

The FSA Benny Card is funded only with the current plan year’s election amount. If funds remain in the account that can be used during the grace period claims extension during the following plan year, then employees must submit paper claims by mail, or facsimile, or via electronic upload to ASIFlex in order to be reimbursed for the remaining account balance.

The FSA Benny Card should not be used for grace period claims. If the FSA Benny Card is used for grace period claims, the amount(s) will be deducted from the current plan year’s election and will not be applied to the previous year’s remaining balance.

It is anticipated that use of the FSA debit card will greatly reduce the incidents of remaining account balances at the end of the plan year, since employees will have full access to the annual election amount.

For more information about the FSA Benny Card please visit the CSU Systemwide Benefits Portal at: www.calstate.edu/hr/benefitsportal/ or contact ASIFlex at (800) 659-3035.