Direct Deposit Authorization Form
Claim Form and Claim Filing Instructions
The Flexible Spending Account (FSA) benefit is administered by PayFlex and provides an opportunity to realize significant tax savings by paying certain qualified expenses with before-tax dollars. The phrase "before-tax dollars" refers to income not subject to FICA, federal or state income taxes. You are already saving money under the Plan by having the premium for your health insurance coverage through the College deducted before taxes. Many individuals also take advantage of additional tax savings by establishing Spending Accounts to pay for qualified medical care and/or dependent care expenses.
SCENARIO #1: The member uses the debit card. The merchant approves the card at the point-of-purchase. PayFlex has not substantiated the card transaction yet.MESSAGE SENT: Please save the receipt for your card transaction at (Merchant Name) in case we need to verify the expense.
SCENARIO #2: The member uses the card. The merchant processes the debit card transaction. PayFlex substantiates the card transaction. The member can view the transaction online.
SCENARIO #3: The member uses the debit card. The merchant processes the card transaction. PayFlex is unable to substantiate the transaction. The member can view the transaction online.
How do members sign up for this notification?
To sign up, members must login to the PayFlex member portal. At the top of the page, click on My Settings and select Notifications / Email Address. Then they can select the notifications they wish to receive and click Submit.