Flexible Spending Account: Gilsbar 2010-2011
Flex Spending Overview
Gilsbar, Inc. is the administrator for Flexible Spending Accounts (FSAs) for LSU employees.
A Flex Spending Account, or FSA, is a reimbursement account that allows you to set aside a certain amount of money each paycheck, pre-tax, to help pay for out-of-pocket health care and dependent day care expenses for you and your family.
Eligible expenses include, but are not limited to the following:
- Out-of-pocket health care: co-pays, deductibles, co-insurance, dental (including braces), vision, LASIK eye surgery, over the counter medications, prescription drug expenses, etc.
- Dependent Day care expenses
FSA is a "use it or lose it plan." The IRS requires that all money in the account be used during the plan year. Money is non-returnable and cannot be carried over to the next year. Generally, it is better to underestimate your expenses to prevent you from losing funds. This plan requires re-enrollment each year.
Download the Flex Spending Overview
Flex Spending Enrollment Form
For enrollment in the Flex Spending Account plan, please complete the attached form and return to the Office of Human Resource Management between April 1st - May 21st.
Administrative fees for participation in the flex spending plan are as follows: Annual administrative fee is $48.72. 12-month employees ($4.06 per month). 9-month employees ($5.41 per month).
The plan year is from July 1, 2010 - June 30, 2011. The IRS does allow a 2 1/2 month grace period to incur expenses. Claims must be submitted no later than October 30, 2011. Remember, this is a "use it or lose it plan."
Download Flex Spending Enrollment Form
Flex Spending Direct Deposit
Please complete the form to sign up for direct deposit.
Download Flex Spending Direct Deposit
Flex Spending Claims: Healthcare and Dependent Care claim form
Employees can register onlinewith Gilsbar, Inc.
Claims should be faxed to 866-635-1329. A claim is processed 48-72 hours from receipt. If the claim is processed prior to the check run, then the claim will be on the check run for that day. If the claim is processed after the time the check run then the claim will be on the next day's check run. The check run process is automatic. Cut off times for each check run could vary from day to day depending on the number of groups in the queue for that day.
LSU Shreveport Group number is: S2607. LSU Shreveport Account number is: 1007.
Employees who have registered online will receive an email notification when the claim is received and another when it is processed. Each time a claim is paid, employees will receive notification of payment and their remaining balance. If a claim is denied, they will also receive an email notification with the reason the claim was denied. Employees will be able to view the claim form and documentation sent for each claim on the Gilsbar website.
Download the Healthcare and Dependent Care Claim Form
Flex Spending: Plan Document
Download the Flexible Spending Plan Document