Please note: The IRS has decreased the amount that you can elect for the health care spending account from $5,000 to $2,500 effective January 1, 2013. The dependent care maximum remains at $5,000 for 2013.
A Flexible Spending Account (FSA) allows employees to use before-tax dollars to pay for eligible out-of-pocket expenses. Hampshire College has established two types of flexible spending accounts through Benefit Strategies.
Access your flexible spending dollars using the FlexExpress Visa Debit Card. No waiting for reimbursement; simply use your card to pay for qualified medical, dental, and dependent care expenses.
Flexible Spending Account Forms and Information:
Flexible Spending Account Enrollment Form 2013 (pdf)
Flexible Spending Account Information Sheet (pdf)
Health Care Flexible Spending Account Brochure and Calculator (pdf)
Eligible Over-the-Counter (OTC) Expenses (pdf)
Dependent Care Flexible Spending Account Brochure and Calculator (pdf)
Flexible Spending Claim Form (pdf)
FlexExpress Guidelines (pdf)
Flexible Spending Account Direct Deposit Authorization Form (pdf)
Flexible Spending Account Qualified Participant Status/Change Form (pdf)
Flexible Spending Account Web Access Instructions (pdf)
Benefit Strategies Contact Information:
Benefit Strategies
P.O Box 1300
Manchester, NH 03105-1300
Toll Free: 1.888.401.FLEX (3539)
Phone: 603.647.4666
Fax: 603.647.4668
Website: http://www.benstrat.com/
Email: info@benstrat.com
This website is intended as a general overview of Hampshire College benefits plans only. Every effort has been made to summarize these programs accurately. In all cases, the actual provisions of each benefit plan will govern if there is any inconsistency between this site and Hampshire’s formal plans or contracts.
© 2013 Hampshire College 893 West Street Amherst, MA 01002 . 413.549.4600