For More Information
See Frequently Asked Questions about flexible reimbursement accounts.
- 2013 Flexible Reimbursement Account Application (PDF)
- 2014 Flexible Reimbursement Accounts Enrollment Form (PDF)
- 2013 Flexible Reimbursement Account FAQ (PDF)
- 2014 Flexible Reimbursement Account FAQ (PDF)
- Dependent Care Claim Form (PDF)
- Medical Claim Form (PDF)
- Crosby Benefits Direct Deposit Form (PDF)
Flexible Reimbursement Accounts
Flexible Reimbursement Accounts (FSA) permit employees to set aside a portion of their salary to pay for nonreimbursed health-care (medical, dental and vision) and dependent-care expenses with "before tax" dollars. Money deducted from employees' pay into an FSA is not subject to federal, state or Social Security taxes, resulting in payroll savings.
How It Works
Employees pay into the reimbursement accounts via payroll deductions throughout the calendar year. Reimbursements are made as employees incur out-of-pocket expenses for qualifying health-care and/or dependent-care services
The Flexible Reimbursement Accounts are managed by a third-party administrator, Crosby Benefit Systems. You can contact Crosby Benefit Systems at 1-800-462-2235.
You can check your Flexible Spending Account balance(s) and claims online. After you enroll in an FSA account, you will receive an enrollment notification from Crosby Benefits that provides a PIN number that you can use to login to MyCrosby Benefits. If you do not receive this notice, or no longer have it, you can create a new user profile on Crosby's secure Web site.