Flexible Spending Account Information for Smyth County Schools Employees

This page is your source for all information and forms related to your new Smyth County Schools Flexible Spending Account (FSA) Plan for 2014. Please review the information on this page so that you can receive the maximum benefit from the plan for you and your family.

The first thing you need to do–if you haven't already done so–is sign up for the plan. You can do this in one of two ways:

  1. Online by creating an account at www.mywealthcareonline.com/fba/. You will need the employee and employer IDs you received in an email from Flexible Benefit Administrators (FBA) on Nov. 13. After you create the account, you can log into the FBA website and set up your plan. To set up your plan, you will need the birthdates and social security numbers of everyone who will participate in your plan (yourself, spouse, dependents).
  2. By completing this form, printing it and submitting it to the School Board's Payroll Department.

Video Presentation

This Mark III Video details the options available for Smyth County Employees

FBA Benefits Card

If you sign up for a Health Care FSA Plan, you will receive a Flexible Benefit Administrators (FBA) Benefits Card that can be used to pay for qualified healthcare-related expenses without the need to file a paper-based claim. Your card will be mailed to your home address before the start of the plan year. It will function like a debit card, but it can only be used to pay for eligible Flexible Spending Account expenses. The debit card will initially be loaded with the amount of your total annual election; that is, if you elect to withhold $100/month, your card will have an available balance of $1,200 when you receive it. Please visit the FBA website and log into your account to review your account activity and balance. Do not throw your card away at the end of the plan year; a new card will be mailed to you prior to the expiration date. All cards have an initial issue date valid for 3 years. If you elect to continue your enrollment in the FSA Plan, your new elections will be placed on your existing card.

This document contains important information that you should read before using your Benefits Card. In particular, it covers situations in which you will have to submit a Transaction Substantiation Form, which is required by the Internal Revenue Service for certain transactions.

If you would like to obtain extra Benefits Cards for your spouse or eligible dependents to use, complete this Benefits Card Election Form and return it to the Personnel Department. You can use the same form to request replacements for lost cards, to elect not to receive a Benefits Card, or to cancel a dependent's Benefits Card.

Note: The Benefits Card Election form enables you to save what you type into it, but it won't open correctly in some Internet browsers. If you get a "Please Wait..." message when you click it, try a different browser or right-click the link and save the file to your computer.

Claim & Substantiation Forms

There are two ways to file reimbursement claims for expenses that you did not purchase with your FBA Benefits Card:

  1. By logging into the FBA Website and completing an online claim (instructions);
  2. By completing the appropriate form from the following choices. You can then fax, email, or mail the completed form to FBA.

Claims are entered and reimbursements are processed weekly. Be sure to keep copies of your reimbursement claim forms and all supporting documentation (receipts, doctor bills, etc.) for your records. Please allow 2-3 business days for processing of your submitted claims once they have been received. Reimbursements are made through direct deposit only and will be deposited in your bank account within 1-2 business days after processing. Always verify with your bank that funds are available before making withdrawals.

To have your reimbursements deposited to a checking or savings account, complete this Direct Deposit Form.

Contact FBA

FBA customer support staff are available Monday through Friday from 8:30am–5:00pm EST by calling 800-437-3539 or by faxing questions to 757-431-1155, or by visiting www.flex-admin.com.