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Home > Benefits > Flexible Spending Accounts -- OPEN ENROLLMENT BEGINS NOVEMBER 2, 2009!  
Flexible Spending Accounts -- OPEN ENROLLMENT BEGINS NOVEMBER 2, 2009! 

Open Enrollment for the BVSD 2010 Flexible Spending Accounts: Health, Dependent Care, and (Public) Transportation Spending Accounts is during the month of November. These plans are also referred to as Section 125 Plans. The plan year is January 1 - December 31, 2010. The easiest way to enroll is to go through the online enrollment available through Employee Self-Service at:  http://bvsd.org/HR/Pages/EmployeeSelfService.aspx.  Click on the Lawson Employee Self-Service link, then BVSD Employee Self-Service, then Open Enrollment and make your selections.

The reason employees sign up for one of these plans is 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 six years of PERA retirement may not want to participate.  Participants in the health care spending account who are active on November 30, 2009 receive a matching contribution from the district up to $120.  Enrollment must be completed online or the paper enrollment turned in to Human Resources by November 30, 2009.

Some eligible health care expenses are laser eye surgery, contact lens or prescription eyeglasses, contact solution, prescription sunglasses, co-payments, co-insurance and deductibles, orthodontia, hearing aid batteries, some forms of alternative medicine, some health care not covered or partially covered by insurance, some forms of vitamins, etc. for all family members, even if they are not on your insurance through the district. (Premium payments for other insurance carriers are not an eligible expense.)

For more complete information, click here.

Flexible Spending Accounts- Open Enrollment Information

Health Care and Dependent Care Plans Information

Transportation Spending Account Information

Flexible Spending Enrollment Form 2010

Transportation Plan Information

Opt Out Form
 
 Eligible Expenses Guidelines

Over the Counter Medications

Medical Expense Claim Form
 
Dependent Care Expense Claim Form
 
Transportation Expense Claim Form
 
Planned Benefit Systems Web Site

 How to File for Reimbursement

For information on submitting claims online, please see Hot Topic - 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 (303) 447-5031. 

 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.