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 WageWorks. 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, 2017 – June 30, 2018. 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 $2,600 per plan year (the minimum election is $100 per 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 WageWorks Health Care 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 (the minimum election is $100 per 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, or online. WageWorks also offers a “Pay My Provider” option . To check account balances, status of claims or questions, contact WageWorks, Monday – Friday, 8:00am to 8:00pm Eastern at 1-877-924-3967 or log onto the participant website . Watch this how to video to learn how to register and use the participant website to check and submit claims. Click on the WageWorks FSA – Quick Start Guide to learn more about using your FSA.
Below please find additional information on the two FSA plans:
WageWorks FSA Welcome Letter – Plans with Carryover
WageWorks FSA Welcome Letter – Plans with Carryover – Updated Letter
WageWorks FSA Health Care Carry Over FAQ
WageWorks FSA Enrollment Form 2017
WageWorks FSA Quick Start Guide
WageWorks Health Care FSA Reimbursement Form
WageWorks Health Care FSA Eligible Dependents
WageWorks FSA Health Care Letter of Medical Necessity
WageWorks Health Care Orthodontia Payment Guidelines
WageWorks FSA Health Care OTC Information Sheet
WageWorks FSA Dependent Care Reimbursement Form