Section 125
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Overview

Is fully integrated with member, claims and administration modules.

Tracks both Sec. 125 (pre tax) and non-125 (post tax) contributions from employers and employees. It checks high compensation/key status to perform nondiscrimination tests. It limits qualified medical and dependent care FSA (Flexible Spending Account) payments to annual election. And it calculates the amount of FSA forfeitures and tracks the allocation of forfeitures.

Web Based Enrollment

Using web enrollment functions; Subscriber and dependents can be added and/or changed over the Internet. The online enrollment form will show participant cost, employer cost and total cost of the plan options elected. Participants can also change their dependent information on-line.

Contributions

There are up to 999 benefit lines (major medical, dental, vision, prescription drug, Psychiatric, etc) per member, with contribution schedules attached to each line. Each member's monthly contribution is distributed by benefit line. Each line shows the benefit, dates of coverage, payroll period and account balance for that benefit. Double clicking on the line displays a transaction history with contribution or reimbursement date, request number, check number, deposit or check amount, and account balance.

Contributions may be posted for a single or all payroll periods. Accrual accounting is used.

Reimbursements

When a request for reimbursement is received, the request is checked to ensure it is above the minimum payment amount in the employer’s plan document. If it is below the minimum amount it is accumulated with other requested amounts until the minimum is reached.

Pays requested amounts up to the balance of the spending account for that benefit. If funds are insufficient, or there is another reason the reimbursement did not occur, a form letter is generated explaining why the reimbursement did not occur.

Account Tracking

Complete account tracking is supported including:

An FSA activity journal with date, benefit type, contribution or claim check number, claim number, and balance for contributions and reimbursements.
A FSA summary including the employee, total annual election amounts; total deposits posted to the account year-to-date (employee and employer); total YTD claims approved and denied; total claims paid YTD; current account cash and election balances; date, number and amount of last reimbursement check.
A claim summary including service dates, requested amount, approved amount, denied amount and reason code, pended amount, amount paid to date, and last date paid.

Discrimination Testing

Compliance with Federal discrimination regulations is tested. These tests include the key employee test, the dependent care 55% average benefit test, and the dependent care 5% shareholders test. These tests can be performed as soon as the subscriber elections have been entered.

 

 

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