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)
Haverhill Public Schools offers two flexible spending accounts (FSA) administered by Crosby Benefit Systems. FSA’s allow you to set aside pre-tax deductions to help pay for eligible heathcare and/or dependent care expenses. The plan year runs from July 1, 2016 – June 30, 2017. 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.
Healthcare FSA with Carryover – You may set aside up to a maximum of $2,550 per plan year. You may use the money for eligible medical, dental and vision care expenses. You may carryover up to $500 from one plan year to the next. You will receive a Flex Debit 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. 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 to enter claims, upload receipts and review recent transactions. Claims can be submitted until September 30, 2017 for expenses incurred before June 30, 2017. Claims may be submitted for reimbursement via fax, mail, email or the mycrosbybenefits.com website. To check account balances, status of claims or questions, contact Crosby Benefit Systems at 866-918-9711 or mycrosbybenefits.com.
Below please find additional information on the two FSA plans:
Enroll in a FSA
Using the FSA for Orthodontia Expenses
Why Substantiate Your Claims?
HealthCare FSA with Carryover FAQ
Healthcare FSA with Carryover Reimbursement Form
Dependent Care FSA Reimbursement Form
FSA Enrollment Form