How would you like to save between 25% - 40% on eligible medical expenses?

Open enrollment for the the BVSD Flexible Spending Accounts for Health, Dependent Care, and Public Transportation is once a year during the month of November. The plan year is January 1 - December 31.

These plans are also referred to as Section 125 Plans. Newly hired employees can enroll when they are first eligible for benefits.

Employees enroll in these plans to reduce taxable income through pre‐tax deductions that are then used to pay for eligible expenses. These deductions reduce your current taxes and your PERA eligible salary. Because these deductions reduce your PERA eligible salary, employees within four years of PERA retirement may not want to participate.

How to File for Reimbursement

For information on submitting claims online, please see Learn How to File Online Claims. The Employer Code for Boulder Valley School District is PBSBVSD.

Complete the form in its entirety (including participant name & signature, employer name, address) & staple Receipt(s) to claim form (when possible). Remit signed and completed claim form by fax or mail to:

PLANNED BENEFIT SYSTEMS, INC.
FAX# 303-221-2785
6377 S. Revere Pkwy-Suite 350
Centennial, CO 80111

Submit your provider receipt or explanation of benefits (EOB) from insurance company with all of the following information:

Name of Service Provider
Address of Service Provider
Date of Service(s)
Cost of Service
Description of Service

Orthodontic and cosmetic work: See information on form. Daycare Claims must also include tax identification number or social security number.

If you are experiencing difficulties downloading the enrollment form, you can get a hard copy sent to you by e-mailing the Human Resources Office or call HRD at 720-561-5031.

Flexible Benefits Vendor

Boulder Valley School District has a vendor to handle medical flex, dependent care and transportation accounts:

    Planned Benefit Systems, Inc.
    6377 South Revere Parkway
    Suite 350
    Centennial, CO 80111
    Web: www.cci-pbs.com
    303-221-2783

The Planned Benefit Systems staff will answer questions about flexible benefits and/or dependent care accounts. Contact them directly for information.

NOTE: You can create an account USER ID and Password online at the MBI Web Site to check your balance at any time. You can also call a customer service representative at 1-800-800-0133.

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