Ameriflex Flexible Benefits Plan

Plan Name: Wake County Public School System
Plan Year: January 1, 2010 through December 31, 2010

Maximum Annual Contributions

Health Care FSA: $4,000.00
Dependent Care FSA: $5,000.00

Claims Reimbursement
You can use your Flex Convenience Card anywhere MasterCard is accepted as long as the provider offers eligible services under your Medical and/or Dependent Care Flexible Spending Plan. If you have any problems with your card call us toll free at 888-868-3539.

If you do not have the Flex Convenience Card or use a provider who does not accept MasterCard you can submit your claims using a claim form available from your Colonial Life, Your Human Resources Representative or Online at www.flex125.com.

Claims will be processed every Wednesday but must be in the Ameriflex offices by noon on Monday to be processed that week.

Use it or lose it

Only claims incurred during the plan year are eligible for reimbursement. You have 90 days following the plan year to submit claims. If you terminate employment, you have 90 days following your termination date to submit claims incurred while you were participating.

Eligibility

You must be a full-time permanent employee (30 hours or more per week) or a classroom teacher in a job-sharing position and enrolled in the Teachers’ and State Employees’ Retirement System of North Carolina to be eligible to participate. You must be employed in that status on or prior to November 1, 2009 to be eligible to participate in the Medical Reimbursement and/or Dependent Care Reimbursement Flexible Spending Account plans. Eligible employees must sign a new enrollment form before the start of each plan year. New employees must sign an enrollment form within 30 days of their hire date in order to participate for the remainder of the year in the Dependent Care Reimbursement Flexible Spending Account.

Eligible employees can claim expenses incurred by their dependents as defined under section 125 of the Internal Revenue Code.

Termination

Your participation in the Flexible Benefits Plan will terminate on the earliest of the following dates.

The date that you cease to satisfy the eligibility requirements of the Plan.
The date the Plan terminates.
The date you fail to make your required contributions to the Plan.

Special rules, called COBRA provisions, apply to certain health or medical plans. If you terminate employment or have another "qualifying event" that affects your health plan, your Benefits Coordinator will give you an explanation of COBRA and your rights to continued coverage, if COBRA applies to your plan.

Election Changes

The laws governing Flexible Benefits Plans generally do not allow you to change the terms of your Benefits Enrollment Form during a Plan Year. There are, however, a few exceptions to this rule. You may change your benefit elections if there is a change in your status. Such a change in status might include your marriage or divorce; your spouse commencing or terminating employment; a change in work status (such as from full-time to part time or vice versa); you or your spouse taking an unpaid leave of absence from work; a significant change in health coverage due to your spouse's employment; the birth, adoption or death of a child or other dependent of yours; a child reaching the age of majority or some other circumstance where that person is no longer considered a dependent. This list is only a partial list of what might be considered a change in status. It is up to the Plan Administrator to determine what is and is not a change in status, and the judgment of the plan administrator must be made in reliance with the laws governing Flexible Benefits Plans.

If you do have a change in status you must notify the plan administrator within 30 days. If the Plan Administrator determines that your change in status is a permitted change under the law, and that the election change is consistent with your change in family status, the Plan Administrator will allow you to file a form, with new benefit choices that reflect your change in status.

Information
If you signed up for the Flex Convenience Card you can get your account information online at www.benefitspaymentsystem.com

You can contact us toll free between the hours of 8:30 AM and 5:30 PM EST Monday through Friday at 888-868-3539.

You can also visit our website at www.flex125.com for additional information regarding Medical and Dependent Care Spending Accounts.