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Human Resources

Claim Information

Making a Claim

After you have received the services and know the amount of your responsibility for the bill, you may submit a claim for those expenses to ASI. Claims for expenses incurred for services provided during the 2007 Plan Year (through March 15, 2008 for Health Care Expenses) must be filed by the following April 15th. After that, your account will be closed and any balance remaining will be forfeited by you and will be retained by the State in accordance with federal regulations.

Copies of insurance explanations of benefits statements may be used instead of original physician bills if the date of service and charges are shown. Copies of receipts of payment that do not include all the above information are not acceptable. Copies of personal checks are not acceptable. Documentation or copies will not be returned. You will be provided with a supply of claim forms with your enrollment confirmation. Extra claim forms are available through your personnel assistant, from DAS’s web site, ASI's web site, or by contacting ASI.

Receiving Reimbursement

ASI will review your claim and if approved, will reimburse you for the covered expenses. Payments are generally issued within one day of ASI’s receipt of your claim. For dependent care, if your claim exceeds your available funds, the difference will be recorded and paid to you as funds become available from payroll. Payment under the Health FSA is not limited to the amount in your account at the time of your claim. Your bi-weekly contributions will continue for the remainder of the Plan year.

Payments may be made by direct deposit into the bank account of your choice. By using direct deposit you will not need to wait for a check to arrive or get it deposited. A notice that a payment was made will be sent to you. This direct deposit notice is available by U.S. Mail or by e-mail over the Internet. If you prefer, a check can be mailed to you instead of payment by direct deposit.