The Flex Convenience Card

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The Flex Convenience Card
The Flex Convenience Card ReimbursementProcess
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Receive Instant Reimbursement for your Eligible
Expenses

• ProBusiness will provide you with a reimbursement
  account FLEX CONVENIENCE CARD, enabling you to
  access your funds immediately upon receipt of
  services

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Receive Instant Reimbursement for your Eligible
Expenses

• The Flex Convenience Card
• can be used for
• Health Care Spending Accounts
• Dependent Care Accounts
• Transportation Reimbursement Accounts

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Where Can I Use My Flex Convenience Card?

• Examples of qualified locations and providers
  include
• Hospitals
• Physician offices
• Dental offices
• Vision Service providers
• Pharmacies
• Parking Garages/Lots
• Participating Transportation Offices
• Anywhere MasterCard is accepted as a form of
  payment.
• If your qualified provider does not accept
  MasterCard as a form of payment, cardholders
  will need to pay by cash or check and submit a
  manual claim form.

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IMPORTANT! Keep Your Card Transaction Receipts

• IRS regulations require eligibility review of all
  card transactions
• You will not need to complete and submit a
  reimbursement claim form
• You will be requested to submit your card
  transaction receipts for eligibility
  determination on most purchases

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Can I Use the Flex Convenience Card at an ATM?

• The Flex Convenience Card is NOT eligible for
  use at ATMs, or other unqualified merchant
  locations and the purchase will be denied at
  point of sale if attempted

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What Happens if I Mistakenly Use My Flex Card
for Unqualified Purchases?
Example Pharmacy Transaction Medication
co-pay Soda An eligible expense NOT an
eligible expense
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Flex Convenience Card User Responsibilities

• Upon enrollment and with each use of your Flex
  Convenience Card, you are bound under the terms
  of the cardholder user agreement, which is
  provided upon receipt of your card. The user
  agreement outlines your responsibility as a
  cardholder. Please be sure to read your
  agreement carefully. ProBusiness can provide
  this agreement to you at any time, if you have
  misplaced it.
• If you use the Flex Card for an unqualified
  purchase, your account will be considered
  overpaid and your card will be temporarily
  deactivated.
• You will be requested to reimburse your account
  for the full amount of the ineligible expense.
  ProBusiness will provide detailed instructions
  with regard to the payback process should you
  purchase an ineligible item.
• Until such time you have satisfied the
  overpayment on your account, your card will be
  denied at point of sale if use of the card is
  attempted.
• Continued misuse of the card is considered a
  violation of the cardholder agreement which will
  result in permanent deactivation of your card.

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Reimbursement Process If You Are Unable to Use
the Flex Convenience Card

• If you are unable to use your Flex Convenience
  Card,
• complete sign a reimbursement claim form
• For Health Care include EOBs, co-payment
  receipts, super bills with a description of
  the service provided, service date(s) and out of
  pocket costs (copies are recommended)
• For Dependent Care include receipts for
  expenses or have the care provider sign the claim
  form. The providers tax ID number or social
  security number must be provided on the claim
  form.
• For Transportation expense reimbursement include
  receipts for parking, transit and vanpool (copies
  are recommended)

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Dont Forget . . .

• If you are submitting a paper claim..
• To sign the claim form
• To indicate the amount being requested
• Supporting claim documentation - the IRS does
  not allow
• cancelled checks
• credit card receipts
• balance-due statements

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Paper Claim Reimbursement Process

• Mail or fax your signed reimbursement form
  documentation to us
• Reimbursements will occur according to the
  reimbursement schedule in your welcome packet
• Questions?
• Call us 1-800-269-0020
• Fax us 1-800-269-5231
• bsa_at_probusiness.com
• www.probusiness.com

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A Division of ADP National Accounts
It Pays
to participate!
Enroll in your Reimbursement Account Plans
today!