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Flexible Spending Accounts (FSA)

Health Care Spending Account Reimbursement

When submitting for reimbursement, you are responsible for the expenses being acceptable to the IRS, and the receipts must include the proper information.

The Benefits Office will keep track of your payroll reductions, the total amounts requested, and funds available. You can request up to your annual pledge at any time.  If your request exceeds the amount of money in your Health Care Spending Account, you will receive the total and future amount in the account.  You will not have to resubmit these charges.

REIMBURSEMENT INFORMATION AND RULES:
REIMBURSEMENT PROCESS

At the time you turn in your Request for Reimbursement form, you must attach documentation to justify the expenses.  You are responsible for the expenses, and the documentation of those expenses, being acceptable to the IRS.  Canceled checks cannot be accepted as receipts.  The Benefits Office will retain all documents.  Please keep a photocopy of the documents sent to this office for your records.

In order to comply with IRS regulations, if an expense is covered by insurance, claims must be processed through your insurance carrier before being submitted to your spending account.  This includes insurances outside of The University of Iowa. 

Effective January 1, 2011, per IRS rules over-the-counter (OTC) drugs are only eligible for reimbursement with an actual prescription and quantities are limited to individual personal use.  This must be electronic or written on a prescription pad and signed by a physician, doctor of osteopathy, physician’s assistant, chiropractor or advanced registered nurse practitioner.   It must specify the name of the individual for whom the drug is prescribed and the dosage.  This prescription must be attached to each claim submitted, along with the receipt indicating the date and the amount of the purchase.

Some expenses require you submit documentation from a physician of your need for a specific service or item (such as therapeutic massage). Check the Federal Government’s Employee web site for specific documentation requirements.

You must sign each hard copy reimbursement form you submit.

How to get reimbursed from the Health Care Spending Account:

If you choose to submit directly through the Employee Self Service site, it will:

To submit a claim through Employee Self Service, you simply log into the site and select, "Spending Account Recap/Forms."  You add your items to the appropriate form type, attach your supporting documentation, and submit.  You can access detailed instructions in the "Online Sending Account Guide" reached by  clicking "Help" when you are on the "Spending Accounts" page of the Employee Self Service site.

The hardcopy claim forms have also been improved.  You can now use your University ID number, Employee ID number, or your Social Security number for identification on the forms.  The new forms are available in the "Spending Accounts" area on the Benefits Forms web site

REIMBURSEMENT PAYMENT

Your spending account reimbursements will be direct deposited to the same institution and account where your monthly paycheck is deposited.  If you wish, you may use a different institution and/or account for your spending account(s) payment.  You can make that change in the University Employee Self Service site under the Payroll Direct Deposit section:
https://login.uiowa.edu/uip/login.page?service=https://hris.uiowa.edu/portal/ or by filling out the following paper form:  http://www.uiowa.edu/hr/payroll/forms/ddfpbt.pdf and submitting it to the Payroll Office at 120 University Services Building, Suite 30.

To authorize the University to deposit your spending account payments directly into a checking or savings account, you simply complete the Direct Deposit Authorization for Payroll, Benefits, and Travel Expenses – available on the Employee Self-Service site.

REIMBURSEMENT FORM and LINK TO EMPLOYEE SELF SERVICE FOR DIRECT SUBMISSION