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This document serves as a resource guide for participants in Aflac's Flexible Spending Account (FSA), detailing the types of accounts, claim submission process, eligible expenses, and general guidelines.
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How to fill out Flexible Spending Account Participant Resource Guide

01
Read the introduction section to understand the purpose of the guide.
02
Gather necessary information such as personal identification details and employment information.
03
Follow the step-by-step instructions provided for each section of the form.
04
Fill out the participant information accurately.
05
Review the eligible expenses section to understand what qualifies for reimbursement.
06
Complete the claims submission form as per the guidelines outlined in the guide.
07
Submit your completed guide and claims using the recommended method (online or by mail).
08
Keep a copy of the submitted documents for your records.

Who needs Flexible Spending Account Participant Resource Guide?

01
Employees participating in a Flexible Spending Account.
02
Individuals looking to manage their healthcare expenses more efficiently.
03
Anyone who wants to understand the benefits and processes related to their Flexible Spending Account.
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You can spend FSA funds to pay deductibles and copayments, but not for insurance premiums. You can spend FSA funds on prescription medications, as well as over-the-counter medicines with a doctor's prescription. Reimbursements for insulin are allowed without a prescription.
An employee who chooses to participate in an FSA can contribute up to $3,300 through payroll deductions during the 2025 plan year. Amounts contributed are not subject to federal income tax, Social Security tax or Medicare tax. If the plan allows, the employer may also contribute to an employee's FSA.
While flexible spending accounts can save you money, they come with some drawbacks: Use-It-Or-Lose-It Rule: Unused FSA funds are forfeited unless your employer offers a grace period or carryover option.
An employee who chooses to participate in an FSA can contribute up to $3,300 through payroll deductions during the 2025 plan year. Amounts contributed are not subject to federal income tax, Social Security tax or Medicare tax. If the plan allows, the employer may also contribute to an employee's FSA.
This means that you may submit eligible expenses for reimbursement under your FSA plan for services incurred by your children up to age 26. Dependants that will turn 26 during this tax year are not eligible. Your dependant may be married and is not required to live with you, attend school or be a tax dependent.
eligible medical expenses (fsa/hsa/hra) Co-payments, co-insurance and deductible expenses. Dental care (e.g. exams, fillings, crowns) Vision care, eyeglasses, contact lenses. Chiropractic care and acupuncture. Prescription drugs. Over-the-counter drugs, medicines, and medical supplies. Feminine hygiene products.
Limited Accessibility: FSAs are only available during open enrollment or after a qualifying life event, like getting married or having a baby. Not for Everyone: FSAs may not be ideal for employees with unpredictable or minimal medical expenses, as unused funds could go to waste.

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The Flexible Spending Account Participant Resource Guide is a document designed to provide participants with detailed information about how to utilize their Flexible Spending Account (FSA), including eligible expenses, claim submission procedures, and deadlines.
Typically, employers offering a Flexible Spending Account must provide the Flexible Spending Account Participant Resource Guide to all employees participating in the plan. There is no filing requirement for individual participants.
Participants do not fill out the Flexible Spending Account Participant Resource Guide itself. Instead, they should refer to it for guidance on completing claim forms and documenting eligible expenses.
The purpose of the Flexible Spending Account Participant Resource Guide is to educate and assist participants in understanding their FSA benefits, maximizing their savings, and ensuring compliance with the program's rules and regulations.
The Flexible Spending Account Participant Resource Guide must report information such as eligible medical and dependent care expenses, claim submission procedures, reimbursement deadlines, and contact details for customer support.
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