TO: All RCUH Regular Status (50-100% FTE) Employees who are currently active and enrolled in Flexible Spending Plan Accounts for Plan Year July 1, 2016 – June 30, 2017
There is one (1) month left to utilize your current active Flexible Spending Plan Accounts (Medical Expense & Dependent Care Expense Reimbursement Accounts). The end of the current Flexible Spending Plan Year is quickly approaching (June 30, 2017). Services must be incurred by June 30, 2017. If you experience a change in your employment status (i.e., loss of eligibility, termination of employment) prior to June 30, 2017, you have up until the effective date of your employment status change to incur services. Unused contributions will be forfeited at the end of the plan year (NO EXCEPTIONS).
You have ninety (90) days after June 30, 2017 to claim/submit reimbursements for the plan year July 1, 2016 through June 30, 2017 by completing the NBS reimbursement form and submitting it along with all copies of your receipt(s) and required documentation directly to National Benefit Services (NBS) via fax, mail, or email:
- Toll Free Fax: (844) 438‐1496
- Mail: National Benefit Services, LLC P.O. Box 6980, West Jordan, UT 84084
- Email: [email protected] (PDF, TIFF or JPEG files only)
If you have any questions or need additional reimbursement forms, please call (800) 274-0503 ext. 502 or download the forms from the NBS website.
Flexible Spending Accounts – Medical and/or Dependent Care Expense Reimbursement Account(s): You MUST ENROLL by submitting the RCUH Flexible Spending Enrollment/Change Form (B-5F) with your election amounts(s) for the new plan year. This benefit will not automatically continue into the new plan year.
RCUH Human Resources