Cafeteria Plan (Flex Spending Account)

What is the Cafeteria Plan?

A Flexible Spending Account (FSA) allows employees to set aside pre-tax dollars to pay for eligible medical, dental, vision, or dependent care expenses. This reduces taxable income while helping cover out-of-pocket costs throughout the year.

🎯 Purpose: Redirect pre-tax income to cover eligible expenses for you and your dependents.

Eligibility:

• Available to full-time and qualifying *part-time employees
  • *Part-time employees only eligible for Dependent care FSA
• Subject to IRS guidelines and maximums

Enrollment:

• New employees: 31 days from hire date
  • paper enrollment form
• Annual Open Enrollment: Nov 1 – Dec 1
  • Online enrollment procedures
• Qualifying event: 31 Days from Qualifying Event date
  • Enrollment form
• See Additional Details in the Enrollment Guide

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💰 Plan Options & Coverage

1. 🏥Medical, Dental & Vision FSA

• Pre-tax funds for qualified expenses (such as deductibles, co-pays, prescriptions, dental, and vision expenses)

• Use-it-or-lose-it: Unused funds do not carry over

• Tip: Estimate carefully based on upcoming healthcare needs

2. 👶👵Dependent Care FSA

• Pre-tax funds for childcare or elder care expenses
  • Qualified Depdenent or Elder Care related expenses
• Part-time employees may also participate, depending on eligibility
• Tip: Track expenses to maximize benefits

3. 💳Post-Tax Deductions

• Optional post-tax deductions for qualifying insurance premiums

•  Medical, Dental, Vision deductions default to pre-tax: must opt out through AsiFlex during open enrollment

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📌 How to Use This Benefit

1. Estimate your eligible expenses for the year
2. Decide how much to redirect from your paycheck pre-tax
3. Enroll, during open enrollment, via AsiFlex Online 
   • New hires complete paper enrollment form and return to HR Benefits. 
   • Qualifying event changes have 31 days to enroll/change elections from the date of Qualifying event date. Online enrollment procedures.
4. Submit claims and/or upload receipts as needed
   • Request ASIFlex Debit card for use with Medical Flex Spending account
   • Enroll in recurring direct pay program for payments to dependent care providers

Tips for Success:

• Track your spending to avoid forfeiting funds

• Review contributions each year and update if your needs change

Forms and publications

Forms

• Cafeteria enrollment forms
• Cafeteria plan claim form
• Debit Card Order Form

Publications

• 2026 Enrollment Guide
• FSA grace period
• FSA eligible expense worksheet
• Dependent care recurring direct pay

Policy

• G7.02-6.1.6 Cafeteria Plan