Title: The University of Texas System
1UT FLEX
2004 Information Meeting
The University of Texas System Employee Group
Insurance
2New UT FLEX Administrator
3 New UT FLEX Administrator
- The University of Texas System contracts with new
administrator, PayFlex Systems USA, Inc. - Adds more features
- New Flex Convenience Card???
- Over-the-counter drugs eligible 9/1/04???
- Daily processing of claims ???
- (Direct deposits/claim checks out in 72 hours)
- Toll-free customer service line(866) UTS-FLEX
- Toll-free fax line for claims (877) 230-4283
- E-notify
4 UT FLEX Plan Year
- Begins September1, 2004 and
- ends August 31, 2005
- Eligible expenses must be
- incurred during the plan year
5Whats in it for You ?
UT FLEX Reimbursement Accounts
- No federal income tax
- No FICA tax
- Your taxable income goes down!
- Your spendable income goes up!
6The UT FLEX Tax Advantage
Example
Tax Savings Using UT FLEX-552!
7UT FLEX Reimbursement Accounts
Medical Expense Reimbursement Account
- Medical
- Dental
- Vision
- Hearing Care
- Co-pays
- Deductibles
- Over-the-Counter
Day Care Reimbursement Account
- Day Care expenses for child or disabled adult
dependent that allows you and your spouse to
continue to work or attend school
8Eligible Medical Care Expenses
- Medical and dental
- Deductibles
- Coinsurance
- Copays
- Insulin, syringes for insulin
- Rx drug deductibles/copays
- Chiropractor copays
9Eligible Medical Care Expenses
- Rx eyewear, contact lenses, and their cleaning
solutions - LASIK vision correction surgery
- Hearing aids and batteries
- Dental-orthodontist, bridges, fillings
- Specific medical condition exists
- See www.utflex.com or call PayFlex for
IRS-eligible expenses
10Over-The Counter Drugs and Medicines
OVER
NEW FOR THIS PLAN YEAR! OVER-THE-COUNTER DRUGS
MEDICINES
IRS-eligible
11Eligible Over-the-Counter Drugs and Medicines
- Antacids
- Anti-diarrhea
- Anti-fungal ointments and creams
- Antiseptic ointments and creams
- Cold remedies including sore throat sprays,
lozenges, nasal sprays, cough syrups, cough drops - Eye drops
- First-aid antibiotic ointments and creams
- Gas Relief
- Hemorrhoid ointments and
- creams
- Laxatives
- Lice treatments
- Motion-sickness pills
- Pain Relievers including arthritis pain,
back/head pain - Sleep Aids
- Stop smoking gums /patches
- Yeast infection products
- Vapor rubs
12Ineligible Over-the-Counter Drugs and Medicines
- Anti-bacterial soaps
- Acne treatments
- Dandruff shampoo
- Dry skin creams/treatments
- Foot care products
- Hair loss treatments
- Lactose intolerance supplements
- Mouthwash
- Suntan and sunscreen lotion
- Dietary supplements or replacements
- Supplements like fiber, calcium, etc
13Ineligible Medical Expenses
- Cosmetic Reasons
- General Good Health
- Vitamins, Herbal and Dietary supplements
14Day Care Reimbursement Account
- Expenses necessary for you and, if married, your
spouse to work - Child care or adult day care expenses
- For dependent children under 13 or incapable of
self support - For a spouse or eligible dependent who is
physically or mentally incapable of self-care - Compare tax savings of UT FLEX Day Care
Reimbursement Account with federal childcare tax
credit
15Qualifying Childcare Providers Include
Day Care Reimbursement Account
- Private sitter
- Licensed day care provider
- An in-home provider as long as the care provider
is not your child under age 19, or someone you
claim as a dependent for income tax purposes
16UT FLEX Reimbursement Accounts
Medical Expense Reimbursement Account
Day Care Reimbursement Account
- Maximum 5,000 per plan year
- 100 of your Medical Reimbursement Account
Election is available for you to spend 9/1/2004!
- Maximum 5,000 per plan year
- 208 is the monthly maximum if married and
filing separate tax returns
- Minimum 180 per plan year (15 x 12 months or
20 x 9 months) - In any given calendar year, the combined pre-tax
dependent day care deductions cannot exceed
5,000 for tax filing purposes.
17UT FLEX Reimbursement Accounts
- After September 1st, 2004,
- You may be reimbursed by
- Flex Convenience Card
- Direct deposit to checking or savings account
- Paper check mailed to home
- Eligible expenses must be incurred during the
plan year September 1, 2004 through August 31,
2005 and while you are enrolled in the plan
18UT FLEX Direct Deposit
- For direct deposit, all participants enrolled in
UT FLEX for the new plan year must complete a
PayFlex direct deposit form and send it to
PayFlex - The form is located at www.utflex.com
- Please complete the form and attach a voided
check - Return to PayFlex by mail or toll-free fax
19Important UT FLEX Reminders!
- Enrollment in UT FLEX is for the full plan year,
- unless a Qualified Status Change permits
change. - Remember To participate in UT FLEX, you must
enroll or - re-enroll during each years Annual
Enrollment period. - Participants must apply for the Flex Convenience
Card - during annual enrollment or wait until next
year! - PayFlex will process UT FLEX reimbursable
expenses (including IRS-eligible over-the-counter
items) incurred during the new plan year, 9/1/04
through 8/31/05. - Claims for eligible expenses incurred through
8-31-04 will be processed by your current
administrator, FlexBen, until November 30, 2004
(end of claims run-out period).
20 UT FLEX Convenience Card
21 UT FLEX Convenience Card
- The Flex Convenience Card is a signature-based
MasterCard debit card that accesses your
PayFlex spending account. - Use it to pay for IRS-QUALIFIED
medical/dental/vision/hearing care expenses-just
like minutes from a pre-paid phone card! - Use the card until the plan year election amount
is used up! You can check your UT FLEX balance
frequently, either on line or by calling (866)
UTS-FLEX! Transactions in excess of the total
election amount or the remaining balance will be
rejected by the merchant.
22UT FLEX Convenience Card Advantages
- Convenient Easy to Use!
- No claim form to complete!
- Dollars come out of your
- UT FLEX account not your pocket!
- FAST- no waiting for a reimbursement!
- Provide documentation to PayFlex
- only when requested by letter!
- Accepted at qualified merchants for
- IRS-qualified medical expenses
23UT FLEX Convenience Card Reminders
- Save the flex card receipts documentation for
one year. - PayFlex may request documentation based on IRS
guidelines. - Keep eligible card purchases separate
- from other purchases made at the same store.
- Wal-Mart is currently not accepting any
signature-based MasterCards. This includes the
Flex Convenience? Card. - Do not throw away the card when your account
balance reaches 0. - The card does not expire for three years, and
PayFlex will - reload it next year with your new election
amount.
24 UT FLEX Convenience Card
- The UT FLEX Convenience Card must be requested
by the UT TOUCH System during Annual Enrollment
or by Paper Enrollment Form - One card per member and additional cards for
- dependents available by request at no
additional - cost. Order online after you receive your
card. - The Flex Convenience Card is for
- medical expenses only,
- not for day care expenses.
25 UT FLEX Convenience Card
- A 9.00 flex card fee will be deducted from
your UT FLEX account automatically in
September, 2004 - No card replacement fees (lost/stolen)
- Card is valid for three years
- Medical Expense Reimbursement available
account balance - determined by your plan-year election amount
- Receipts/documentation needed only when
requested - by PayFlex by letter per IRS guidelines.
- IMPORTANT Keep all documentation for your
records!
26Flex Convenience Card Mailing
- Participants electing the Flex Convenience Card
will receive the card by mail at their home
address - The card is mailed in a plain white envelope with
PayFlex Systems USA, Inc., Omaha, NE as the
return address. Be on the lookout for it! - Cards will be processed as enrollment files are
received from EGI. Your card should arrive around
9/1/04 - Information, including how to use the card, dos
and don'ts will accompany the card
27Fast Claims Processing!
Reimbursement of Paper Claims
28Reimbursement of Paper Claims
- CLAIMS PROCESSED DAILY! Reimbursements sent by
check or direct deposit within 3 working days! - Fax your claim toll-free or mail or to PayFlex
along with claim form, receipts and/or
documentation including EOB statements. - PayFlex computer servers receive your paper fax
directly-no lost faxes, faster claims processing! - Claims can be submitted at any time for expenses
incurred during the plan year, but must be
received by PayFlex no later than November 30
following the end of the plan year (August 31).
29Customer Service
- UT FLEX 24-Hour Info Line Toll-free (866)
887-3539 (UTS-FLEX) for account balances claim
counselors available M-F 700 a.m.-500 p.m.
Central Time - Website www.utflex.com has account
information, downloadable claim forms, direct
deposit forms, eligible expenses, Q and A, and
Flex calculators - e-Notify Sends e-mail to participants on status
of paper claims - Quarterly statements
- You will receive a year-end post card reminder
by U. S. mail on approx. July 1st, 2005 (60 days
prior to end of the plan year), if you have a UT
FLEX balance greater than 10
30www.utflex.com
www.utflex.com
UT FLEX
31SPECIAL IRS PLAN RULES
- Once you establish your plan year election, you
may only change their election if they
experience a change in family status. - Any amount left in a UT FLEX account at the end
of the plan year will be forfeited. For the
fiscal year ending 8/31/05, participants may file
plan year claims until November 30, 2005. - You must enroll in UT FLEX during Annual
Enrollment every year to participate! - Even if you or an eligible dependents are covered
under another health insurance plan, any eligible
expenses can still be reimbursed by UT FLEX!
32Determine Your UT FLEX Contribution
- Only consider expenses that you know you and/or
dependents will POSITIVELY, WITHOUT A DOUBT,
incur during the plan year - You cant predict the future however, many
out-of-pocket expenses recur every year - Childcare or adult daycare expenses usually can
be determined very accurately
33Determine Your UT FLEX Contribution
- Determine those out-of-pocket expenses that
- occur every year
- Rx drugs, office visit co-payments, orthodontist
visits - Contact lenses cleaners, OTC drugs/medicines
- Childcare or adult daycare expenses
- Determine those out-of-pocket expenses that you
- are certain you will incur during this plan year
- Major dental work crowns, bridges, root canals
- LASIK vision correction surgery
- Prescription eyeglasses or Prescription
sunglasses - Hearing aid
34Important Reminders
- Review your EXPECTED EXPENSES. Do your homework!
Ask your tax advisor, co-workers, friends and
relatives. - Only consider the expenses you know absolutely,
positively, without-a-doubt you will incur during
the plan year! - BE CONSERVATIVE! Remember the use it or lose it
rule, but dont let it scare you! Take a close
look at this valuable tax break. It could
increase your spendable income.
35 UT FLEX Administrator
PayFlex Systems USA, Inc. P.O. Box 3039 Omaha,
Nebraska 68103-3039 Phone Toll-Free (866)
887-3539 (866-UTS-FLEX) Fax Toll-Free (877)
230-4283 www.utflex.com
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