BeniComp Group Getting the Full Benefits of your Flexible Spending Account FSA Reimbursement Accounts
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BeniComp Health Care FSA
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BeniComp Health Care FSA
Forms
Size
File Type
FSA Claim Form
106 KB
Adobe PDF

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There is a $5 minimum claim amount required in order for BeniComp to process reimbursement.

When you submit a claim to the Health Care Spending Account, you will receive full payment up to your elected amount, less any amounts previously paid. If your reimbursement request is more than the balance in your account, you will be reimbursed to the total amount you elect to contribute for the year, less any amounts already reimbursed.

Day care expenses will be reimbursed from the Dependent Care Spending Account based on the amount indicated on the claim request up to the total amount in your account at the time the claim is received.
 

Once a week, BeniComp will receive an electronic copy of your medical Explanation of Benefits for health care claims processed during that week. BeniComp will then automatically process and reimburse you for eligible healthcare out-of-pocket expenses such as office copays, deductibles, etc.

The automatic reimbursement of healthcare claims will be largely dependent on when your provider bills the medical plan and the claim is processed. In addition, BeniComp issues checks weekly for any claims received by noon on Wednesday (unless it is a holiday). Please keep this in mind when inquiring about the status of your reimbursement.

Prescription drug claims will be sent electronically to BeniComp on a weekly basis as well. These copays will also be reimbursed automatically if you meet the above conditions.

Dependent Care Spending Account claims will be reimbursed on a weekly basis once the manual claim is received by BeniComp.
 

You have two options to receive reimbursement from your Health Care Spending Account:
 
Automatic Reimbursement

You have the option to elect automatic claim reimbursement for any Health Care Spending Account claims. BeniComp will automatically process your healthcare claims if you meet the following conditions:

  • You enroll in the Health Care Reimbursement Account, and
  • You are not enrolled in healthcare coverage elsewhere, i.e. through a spouse’s employer, and
  • You are enrolled in an eligible medical plan

If you elect this option, your medical and prescription drug copays will automatically be sent to BeniComp for reimbursement from your Health Care Reimbursement Account. You will not need to submit a claim to BeniComp!
 
Manual Submission

If you did not elect or were not eligible for the automatic claim reimbursement feature, you will need to submit your Health Care
claims manually to BeniComp. A claim form needs to be completed which you may obtain from your Human Resources Department or by clicking here.

You may mail or fax your completed claim form, along with your receipts, to BeniComp at:

BeniComp Group, Inc.
Attn: Flex Claims Dept.
8310 Clinton Park Drive
Ft. Wayne, IN 46825
Fax: 260-482-8991