Pre-Tax Expense Accounts: Making a Claim
To draw on your pre-tax expense accounts, you must make claims for the
eligible expenses you incur. The steps to follow are:
- Save your original receipts for expenses.
- For health care claims only: If any portion of the expense is
covered under a medical, prescription, dental, or vision plan, submit
the expense to the health plan carrier, and wait for the Explanation of
Benefits (EOB).
- For over-the-counter drugs only: You must provide appropriate
documentation when submitting expenses for over-the-counter
drugs.
- Fill out a Request for Reimbursement Form, available from our forms
section.
-
Send the completed Request for Reimbursement Form along with the original proof of
expense and original EOBs (if applicable) to ADP at:
ADP FSA Services
P.O. Box 1853
Alpharetta, GA 30023-1853
- Upon approval of the expenses, you will receive a check for the
approved amount.
You can make the process even more convenient by signing up to have your reimbursements directly deposited into either your checking or savings account. This way you won’t have to cash or deposit each reimbursement you receive and your check won’t be delayed, destroyed, or lost in the mail. Click here to access the Pre-Tax Expense Account Direct Deposit Authorization Form.
Keep in mind that you are reimbursed only for eligible expenses that you
incur during the same plan year in which you make contributions.
You can access your pre-tax expense account details, including balances and the status of claims you have submitted, securely online through Penn’s online benefits enrollment site. Just login with your PennKey and password, continue until you reach the “Enrollment Options” page, and click the link titled “Access Your Pre-Tax Expense Accounts”.
If you leave the University during the plan year, your contributions end
with your final paycheck. After you leave, you have until three months after the
end of the plan year in which you terminate to claim expenses that were incurred
up to your date of termination (up to the balance remaining in your
account). Your requests must be for eligible expenses incurred during the plan year up to your date of termination. NOTE: For the Health
Care Account, you may claim expenses that occur after you leave the University -
up to the end of the plan year in which you terminate - only if you elect to
continue your contributions to the account under the Consolidated Omnibus Budget
Reconciliation Act (COBRA). For the Dependent Care Account, however, you may
continue to submit requests for reimbursements after you leave through the end
of the three-month grace period. You may be reimbursed for expenses incurred
through the end of the plan year, up to the balance in your account at the time
you stopped participating.
For the 2009-2010 plan year, expenses for both the Health Care and
Dependent Care Pre-Tax Expense Accounts must be incurred between July 1,
2009 and September 15, 2010. All expenses must be submitted to ADP for
reimbursement by September 30, 2010.