FLEXIBLE SPENDING ACCOUNT (FSA)

2008 Plan Year

What's New
• Mileage incurred traveling to and from your medical provider is reimbursable through the Health Care Flexible Spending Account at the rate of $.19/mile for services provided on or before June 30, 2008 and $.27/mile for services provided on or after July 1, 2008. To submit a claim for mileage expenses, you need to list the number of miles, the date of service and the expected reimbursement amount. No other documentation is necessary.

Power Point Presentation
• Learn More About Flexible Spending Accounts

Plan Administrator
• ASI's website www.asiflex.com
• Customer Service: 1-800-659-3035
• Fax Number: 1-866-381-9682 or 1-573-874-0425 (To submit claims for reimbursement)

Documentation and Forms

• Payroll Stuffer of October 26, 2007 (.pdf)
• Poster Announcing Open Enrollment (.pdf)
• Cover Letter Announcing Open Enrollment (.pdf)
• Flex Summary (.pdf)
• Online Open Enrollment Checklist (.pdf)
• Summary Plan Description (.pdf)
• Grace Period/Extension Notice (.pdf)
• Claim Form (.pdf)
• Direct Deposit/E-Mail Authorization (.pdf)
• Election Change Form (.pdf)
• Unpaid Leave of Absence Form (.pdf)
• Accessing Your Accounts (.pdf)
• Enrollment Form (.pdf)

Last Updated: Tuesday July 01 2008