4 Summer St., Rm 104, Haverhill, MA 01830 | Office Hours 8:00-4:00 | Phone (978) 374-3411 | Fax (978) 374-3422
Flexible Spending Accounts (FSA)
Pro-Flex will continue to be the administrator of the flexible spending accounts (FSA) benefit.
The Pro-Flex FSA plan year begins on July 1, 2019 and the payroll deductions will begin as of the September 20, 2019 paycheck (pre-tax deduction, 20 annual deductions).
Current Health Care FSA Enrollees: KEEP your Pro-Flex Payment Card (debit card) as your 2019 – 2020 plan year election will be loaded onto this card as of July 1st.
New Health Care FSA Enrollees: You will receive two Pro-Flex Payment Cards (debit card) (both are in the employee’s name) by July 1st.
New Hires During the School Year : Your FSA plan year begins as of your date of hire/enrollment date and you will receive the Pro-Flex Payment Card (debit card) within one to two weeks of enrollment.
FSA’s allow you to set aside pre-tax deductions to help pay for eligible healthcare and/or dependent care expenses. The plan year runs from July 1, 2019 – June 30, 2020. FSA enrollment is effective on the first day of employment and you have 30 days from the date of hire to enroll in or waive. This benefit requires that you re-enroll every year during the open enrollment period.
Health Care FSA with Carryover – You may set aside up to a maximum of $2,700 per plan year (there is no minimum election). You may use the FSA for eligible medical dental and vision expenses. You may carryover up to $500 from one plan year to the next. You will receive a Pro-Flex Payment Card and additional debit cards can be ordered for spouse and child(ren). Your total election is available to you on the effective date.
Dependent Care FSA – You may set aside up to a maximum of $5,000 per plan year (there is no minimum election). You may use the money for eligible dependent care expenses such as daycare, preschool, summer day camp, before / after school programs (for children under age 13) or elder day care. You must pay into the plan and incur the expense before you can submit for reimbursement.
Both plans offer a mobile app and the Pro-Flex participant website to submit claims, upload receipts and review recent transactions. You may also use the FSA Claim Form to submit for reimbursement via fax, mail, or email*. Claims can be submitted until September 30, 2019 for expenses incurred before June 30, 2019. To check account balances, status of claims or for questions, contact Pro-Flex, Monday – Friday, 8:30am to 5:00pm EST at 1-855-847-9069, email@example.com or log onto their participant website . Click Here for an information sheet for assistance on accessing the website and mobile app.
*Pro-Flex Claim Submittal Information:
Mail – Pro-Flex Administrators, LLC 8321 Main Street Williamsville, NY 14221
Fax – 716-929-2013 or toll free 1-855-214-8987
Email – firstname.lastname@example.org
Additional forms and information on the FSA plan:
Pro-Flex Enrollment Form
Pro-Flex Direct Deposit FAQ’s
Pro-Flex Direct Deposit Form
Pro-Flex Claim Form
Pro-Flex Letter of Medical Necessity
Pro-Flex Website and Mobile App Access Information
Pro-Flex Summary Plan Description