Flexible Spending Account

This optional program allows employees to set aside pre-tax dollars to pay for qualifying medical, dental and vision expenses, dependent care expenses, and insurance deductibles. The program requires yearly re-enrollment during an open enrollment period.

 

Based on your estimated health care and/or dependent care expenses for the following plan year, you designate a set amount to be taken from your pay check through monthly deductions September through June. The funds are held in a district account during your eligibility period. Claim forms are then submitted for reimbursement of eligible expenses.

 

Your Navia employer code is ANC.

 

 

Are you a new Flexible Spending Participant?

 

New members to Navia 's Flexible Spending Account should review the information in the

2017 Flexible Spending Account Enrollment Kit

 

 

Filing claims

 

Navia Benefit Solutions Claim Form

 

Make sure all of your receipts include the information listed below. If any of this information is missing, Navia Benefit Solutions must request additional details before processing your claim. IRS guidelines require this information for all claims to avoid penalties in the event the plan is audited.

 

Deadline for filing claims for 2017-18 School Year

Expenses submitted for July 1, 2017 through June 30, 2018 reimbursement must be faxed, emailed or postmarked by September 30, 2018 to be considered a valid claim.

Navia Benefit Solutions Claim Form

  • Itemized bill from provider
  • Name of provider or organization providing day care service
  • Tax ID number or Social Security number of care provider
  • Name of person for whom services are being provided
  • Date of services
  • Cost of services

 

Dependent care claims

 Navia Benefit Solutions Day Care Form

 

 

As an alternative to filing a claim for dependent care each month, the Dependent Care Contract form may be more convenient. Rather than filing claims each month, simply have your provider complete and sign this form then submit it once each year. Navia Benefit Solutions will then automatically sends out your day care reimbursement each month after receiving the contribution information.

 

Direct deposit

 

Navia Benefit Solutions Direct Deposit Form 

If you would like to have your reimbursements directly deposited into your bank account, just complete the Navia Benefit Solutions Deposit Authorization form for your checking or savings account then send it in with your next claim. All direct deposits will be initiated on the same day as the normal check reimbursement date. Deposits may take up to two (2) business days to appear in the designated account.

 

 



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