• Flex dependent care and flex health care claim forms

    Download, complete and print the fillable flex dependent care or flex health care claim forms and submit them to the Insurance Department at the ESC for reimbursement. Reimbursement is biweekly on paydays. The Friday before payday is the deadline to submit your claim to the Insurance Department to be reimbursed on payday.
     

    Flexible benefit plan 

    The Flexible Benefit Plan is available to all insurance eligible employees for pre-tax qualifying expenses as defined by IRS regulations. The purpose of the "Flex Plan" is to increase take-home pay by paying some individual expenses with pre-tax dollars. Eligible expenses include employee medical premiums, medical and dental expenses not covered by insurance, and dependent care/children's day care. By estimating eligible expenses, an eligible employee can set up pre-tax accounts to pay these eligible expenses. Participation is encouraged because of the individual tax savings, but conservative estimates are encouraged because money allocated for these expenses must be incurred during the Flex Plan year or money is forfeited. It is a good idea to estimate expenses on the low side.
     
    Eligible employees may enroll in the Flex Plan within 30 days from the first date of work in the benefit eligible position or during the open enrollment period which is held during the month of May of each year. The only other time-limited changes may be made to the Flex Plan is within 30 days of a qualifying life changing event. Qualifying life events are defined in IRS regulations for flexible benefit plans and may include events such as marriage, divorce, birth or death of dependent, death of spouse, insurance change as a result of employment change, change from part-time to full-time status of employees, open enrollment of spouse, or employee taking an unpaid leave of absence. Specific details regarding enrollment and changes are in the Flexible Benefit Plan Description Booklet. Questions may be directed to Anoka-Hennepin Labor Relations & Benefits - Insurance at 763-506-1080.

    Employees must enter their flexible spending account elections into the SmartBen system for each plan year, i.e. September 1, 2019 through August 31, 2020.
     
     
    Flex Health Care Election Limit is $2,700 and Dependent Care Election Limit is $5,000 PER FAMILY. Holiday weeks are allowed to be submitted for reimbursement for the Flex Dependent Care Accounts. Annual Health Care Flex accounts can roll over $500 into the new insurance year.
     

    For more information, see the Flexible Benefit Plan Document.