Important Notices:

Mid-year Flexible Spending Changes: For the 2021 plan year, prospective Healthcare and Dependent Care Flexible Spending Account enrollments, election changes, and election revocations are allowed without a qualifying event. Eligible employees who previously did not enroll for the 2021 Flexible Spending plan year, and who wish to do so now, should complete a Flexible Spending Enrollment Form. Employees who wish to make a change to an existing election should complete a Flexible Spending Change of Election form. It is not necessary to select a reason for the election change if making a change to a 2021 plan year election. Mid-year enrollments and changes take effect prospectively. Retroactive changes cannot be made. Refunds cannot be made for funds already contributed via payroll deduction. The allowance for midyear enrollments and changes without a qualifying event is temporary and it is expected that midyear enrollments and changes for the 2022 plan year will require a qualifying event. Completed forms may be returned by email to benefits@cityofmadison.com.

2020 Plan Year Grace Period and Runout Period Extension: The grace period and claims runout period for the 2020 Flexible Spending Account plan year have been extended through 12/31/2021 and 01/15/2022, respectively. This means that employees who still have unused 2020 FSA/DCAP funds may incur expenses against those 2020 funds through 12/31/2021 and also have until 01/15/2022 to submit claims for eligible expenses incurred through 12/31/2021.

2021 Plan Year Grace Period and Runout Period Extenstion: The grace period and claims runout period for the 2021 Flexible Spending Account plan year have been extended through 12/31/2022 and 01/15/2023, respectively. This means that employees who still have unused 2021 FSA/DCAP funds may incur expenses against those 2021 funds through 12/31/2022 and also have until 01/15/2023 to submit claims for eligible expenses incurred through 12/31/2022.

Maximum Dependent Care Assistance Program Annual Election Increased: For the 2021 plan year, a maximum of $10,500 (or $5,250 for married individuals filing separately) may be contributed to a dependent care assistance program (DCAP) account. Normally, the maximum annual contribution to a DCAP account is $5,000 (or $2,500 for married individuals filing separately).

Questions about these changes may be directed to benefits@cityofmadison.com.

Flexible Spending Accounts Information

The City of Madison offers an optional Flexible Spending Accounts (FSA) program. Employees can place pre-tax dollars in a Healthcare Account and/or a Dependent Care Account. Participating employees will automatically have the money deducted from their paycheck and deposited into the respective account by payroll.

Employees sign up for flexible spending on a calendar year basis and must re-enroll annually during open enrollment. New employees may sign up within their first 30 days of employment, and their coverage will begin their first day of employment.

Please note that expenses related to domestic partners and domestic partners' children (who are not the employee's own child) are not allowed to be reimbursed through Flexible Spending Accounts. Flexible Spending Accounts are bound by IRS definitions of what pre-tax dollars can be used for.

ConnectYourCare is the third party administrator for the 2020 and 2021 flexible spending plan years.

Healthcare Account

Employees can contribute a maximum of $2,750 annually to their healthcare flexible spending account for the 2021 plan year. Healthcare account maximums are on a per employee/per employer basis.

Deposited funds can reimburse employees for:

Flexible Spending dollars cannot be used to pay for insurance premiums, as insurance premiums are already paid using pre-tax dollars.

Dependent Care Account

Employees can contribute a maximum of $10,500 to a dependent care flexible spending account (a maximum of $5,250 for married individuals filing separately) for the 2021 plan year. Dependent care account maximums are on a per family basis.

Deposited funds can reimburse employees for:

Using Funds

You have two ways to access your available funds:

  1. ConnectYourCare Payment Card: Upon enrollment, you will receive a ConnectYourCare payment card in the mail, which can be used to pay for eligible healthcare expenses anywhere VISA is accepted. A claim paid using the ConnectYourCare payment card is still required under Internal Revenue Service rules to be substantiated as an FSA-eligible expense. If a payment card claim is unable to be auto-substantiated via a pre-established database or claim feed, you may be required to provide supporting documentation (receipt, Explanation of Benefit, etc.) in order for the claim to be considered valid.
  2. Request a reimbursement: Submit a claim to be reimbursed for qualifying expenses, as well as a receipt documenting the expense. You may elect to receive your reimbursement via paper check or via direct deposit into your designated bank account.

Because FSA claims may be subject to audit, it is recommended that records and receipts related to FSA claims be kept for a minimum of three years beyond the tax filing date for the year that the expenses were incurred.

Substantiation Requirements

Tips for Complying with IRS FSA Rules

Change of Election

Certain qualifying events allow a change to be made to the annual election amount for a flexible spending healthcare and/or dependent care account. Please see the Flexible Spending Change of Election form for more information on events that may qualify you to make a change.

Use-or-Lose Rule

Employees must use the amount in their accounts in the calendar year in which the money is placed in the account or within a grace period that typically extends through March 15 of the following calendar year. The unused amount otherwise cannot be rolled over from year to year. Money that is unused at the end of the grace period in the calendar year following the plan year will be forfeited to the employer.

Request Card for Spouse/Dependent

Each participant receives one ConnectYourCare payment card upon enrollment. Additional cards for a spouse and/or adult dependent child(ren) are available at no additional cost.

  • Online: Login to your ConnectYourCare account.
  • Phone: ​Contact ConnectYourCare’s Participant Support Services 24 hours per day/7 days per week at 877-292-4040.

The ConnectYourCare payment card and a standard Cardholder Agreement will be mailed directly to your mailing address.

More Information

For more information, please see the Employee Benefits Handbook, or learn more about the provider.
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