FlexElect Accounts

The FlexElect program lets State employees set aside money in a reimbursement account to pay for certain expenses.

FlexElect can help you increase your take home pay and decrease your taxable income. You specify the amount to be deducted from your paycheck, and the deductions occur before tax withholding, reducing tax liability.

FlexElect offers two types of accounts.

• Medical Reimbursement Accounts - Money in an MRA can reimburse eligible medical expenses.
• Dependent Care Reimbursement Accounts - Money in a DCRA can reimburse dependent day care expenses.

Please read the 2009 FlexElect Plan Year Handbook very carefully before making a decision about enrolling in the Program. You may wish to seek the advice of a qualified tax consultant. FlexElect offers many choices, and not all of them are beneficial for everyone.

Mileage Rate

The mileage rate for driving to and from medical appointments changed from 19 cents in 2008 to 24 cents in 2009.

Information

• Enrollment
• FBMC (Record Keeper)
• SCO's State Employee Paycheck Calculator - Calculate the tax benefits of a FlexElect Reimbursement Account.
• Benefits Overview Training - Increase Your Paycheck (PDF)

Publications

• 2009 FlexElect Plan Year Handbook (PDF)
• 2008 FlexElect Plan Year Handbook (PDF)
• Grace Period Questions and Answers (PDF)
• Over the Counter Category Reimbursement (PDF)
• IRS Publication 502 Medical and Dental Expenses (PDF)
• IRS Publication 503 Child and Dependent Care Expenses (PDF)
• FlexElect Reimbursement Accounts Flyer (PDF)

Forms

• Cash Option Enrollment Authorization - STD 701C (PDF)
• Reimbursement Account Enrollment Authorization - STD 701R (PDF)
• FlexElect Reimbursement Claim Form - DPA 352 (PDF)
• Premium Only Plan Request for Disenrollment - DPA 006 (PDF)
• Letter of Medical Need (PDF)
• Qualified Reservist Distribution (QRD) Request Form - DPA 902 (PDF)

COBRA Forms

• COBRA Election Form - DPA 689 (PDF)
• COBRA Initial Notice (Word Document)
• COBRA Election Notice (Word Document)

For More Information

Please contact your personnel office if you have any questions.

Updated February 24, 2009 at 3:18 PM.