Flexible Spending Account Enrollment Information

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The following information is intended for ALL Elko County Employees who are in a full time classification and eligible for Group Insurance and other Employee Benefits.

Listed below is some important information for 2015 calendar year Flexible Spending Account Program. 

Health Care Expenses must not exceed $2,550 per year as per IRS regulations / Dependent Care Expenses maximum allowable election is $5,000 per year or $2,500 per year if married and filing taxes separately.  (IRS has just recently approved a $50 increase for employee contributions to employer-sponsored healthcare spending arrangements (FSA) for the 2015 calendar year – 2014 allowable election was $2,500.)

  • An option for a prepaid MasterCard to be issued to each employee which will allow your qualified medical expenses to be paid up front verses waiting to be reimbursed.
  • If you choose to send in a claim form, you can have the option of having your reimbursements deposited directly into your checking/savings account.
  • Participant Account Web access - detailed Claim History, Health Reimbursement & Dependent Care account information, access to downloads such as Claim and Change of Status Forms, list of what is eligible for reimbursement.
  • Plan is administered by National Benefit Services, LLC – www.NBSbenefits.com.    
  • Enrollment Effective Date: 01/01/2015

Click Here to find a Flexible Spending Account Enrollment Form for the 2015 calendar year along with a sample of eligible expenses.  Please read this information carefully.  You must fill out a 2015 enrollment form if you wish to participate in either the Health Reimbursement and/or the Dependent Care Reimbursement Plan.  After filling out your 2015 enrollment form, forward it to:  Elko County HR Department.  These forms need to be in the Human Resources Department no later than November 21, 2014 (no exceptions can be made past this date). 

FYI - When completing your Enrollment Form, where it asks for Number of pay periods per year, please check Bi-weekly (26). And under #2 Benefit Election – if you have been enrolled in our FSA plan previously, you would check New Year Request.  If you have never been in the plan, check Initial Request.  If you do not wish to participate in the plan for 2015, you do not need to complete the form at all (even though it has Waive Participation) on the form.

Note for Supervisors:  It is your responsibility to provide all eligible employees with this information, so please make sure that everyone is notified.  (There is no need to make copies for everyone.  If an employee is interested, he/she can print the forms from this email or Elko County’s  website at www.elkocountynv.net under HR Department – Forms.) 

 Please remember – the DEADLINE DATE to get your ENROLLMENT FORM to the ELKO COUNTY HR DEPARTMENT is NOVEMBER 21, 2014 – NO EXCEPTIONS!!!