Flexible Spending Accounts

Cornell College offers medical and dependent care flexible spending accounts through First Administrators, Inc. FSAs (Flexible Spending Accounts) allow employees to have pre-tax money deducted from their regular paychecks and deposited into one or both of the reimbursement accounts (health or dependent care).

You don't have to enroll in a health insurance plan in order to participate in the flexible benefits plan.

Eligibility:

First of the month following a benefit-eligible employee’s date of hire. When the first day of employment falls on the first day of the month, the employee is eligible to participate in the plan on that date. The minimum amount of election is $15 per month and the maximum annual election amount is $5,000 for dependent care and $2,500 medical expenses.

Employees may change their annual election amount during open enrollment that is effective with the plan year beginning January 1. In addition, employees may enroll or change their election after experiencing one of the following qualifying events: marriage, divorce, birth, adoption, death or loss of coverage elsewhere (for a complete listing, contact the Human Resources Office).

FSA Information:

Dependent Care Reimbursement Plan Q&A

First Administrators website - Register with online access to view your personal FSA account and claims information. (Our group number is 32800.)

If you have trouble logging into your account or setting up an account, please contact FAI, 1-800-206-0827.

  

Automatic Reimbursement Q&A

Orthodontia Notice

How do I get Reimbursed?

List of eligible expenses

 

Forms:

Mid-year Change Form - Benefit-eligible employees may enroll or make any changes to their FSA election if they experience a qualifying event such as marriage, divorce, birth, adoption, death or loss of coverage elsewhere (for a complete listing, contact the Human Resources Office).

Claim Reimbursement Form - For flex account reimbursements. Fax form to 712-279-8479 or email to Flex@firstadministrators.com.

Direct Deposit Enrollment Form

Dependent Care Receipt Form

To enroll in automatic reimbursement outside of open enrollment, send request to flex@firstadministrators.com (be sure to include effective date).


This summary is not intended to be a complete description of your benefits.  Please consult your summary plan description and/or insurance certificate for additional details including plan limitations and exclusions. The master plan documents will prevail.