HOW TO USE YOUR AMERIFLEX CONVENIENCE CARDsm

If you have a Flexible Spending Account with your employer, you can use your AmeriFlex Convenience Cardsm to pay for eligible expenses including:*

  • Hospitals
  • Physicians
  • Dentists
  • Vision
  • Pharmacies
  • Durable Medical Supplies
  • Home Healthcare
  • Day Care
  • Transportation
  • Parking

*Check with AmeriFlex to be sure what expenses are eligible under your plan.

The money is automatically deducted from the pre-tax dollars set aside in your account when your card is used at a merchant with a point of sale terminal accepting MasterCard®. You can review statements online at www.flex125.com to keep you apprised of charges, contributions, and current balance(s) for the remaining plan year. Note that your card will be rejected if your bill is greater than your available balance.

Save all receipts to verify expense eligibility. For plan years starting on or after January 1, 2004 the IRS will require AmeriFlex to manually review a significant number of claims based on dollar amounts and location of card use. We will be requesting receipts from you based on your health plan parameters. Keep all of your receipts in a convenient location so that you can submit them when requested.

THE ADVANTAGE OF USING YOUR CARD

ACCESSING FUNDS WITHOUT YOUR CARD

If a provider does not accept MasterCard®, simply submit your receipts for reimbursement to AmeriFlex using the FSA Claim Form just as you did previously.

**Please read all enclosures received with your card and remember to sign the back of your card before you use it.**

AmeriFlex, LLC - 303 Fellowship Road, Suite 201 - Mount Laurel, New Jersey 08054 -
888.868.FLEX (3539) - Fax 888-868-9363 - www.flex125.com

SAVE ALL RECEIPTS TO VERIFY EXPENSE ELIGIBILITY

The IRS may require verification of claims based on dollar amount and location of card use. It is important that you keep all of your receipts in a convenient location so that you can submit them when requested.

Participants will be notified via email if the claim is pending and additional verification is needed.

If a participant is asked to verify an expense and does not do so within a specified amount of time, the FlexCard may be turned off until such time the expense is verified.

Keep All Receipts!

Copyright © 2007 Pierce Group Benefits, LLC. All Right Reserved.
This website highlights the voluntary benefits offered through your employer for the current plan year. This is neither an insurance contract nor a Summary Plan Description and only the actual policy provisions will prevail. All information in this booklet including premiums quoted is subject to change. All policy descriptions are for information purposes only. Your actual policies may be different than those in this booklet. Please meet with your Colonial Representative during the Open Enrollment Period to verify the information contained within this booklet as well as your own policy information.