CCSD Section 125 Flexible Spending
American Fidelity is the vendor for all Crook County School District Employee groups.
SECTION 125 FLEXIBLE SPENDING ACCOUNTS ARE AVAILABLE TO ALL BENEFIT ELIGIBLE EMPLOYEES
*New employees complete and submit a Section 125 enrollment form to the payroll department no later than September 8, 2023. Returning employees are eligible to make plan changes during open enrollment in November with the American Fidelity Representative when they visit the district.
American Fidelity Information
Todd Wells
Account Manager
American Fidelity Assurance Company
1-877-293-1090 ext 13
Fax: 1-877-295-1091
todd.wells@americanfidelity.com
Summary of Dependent Day Care - Flex
Flex or Dependent Day Care enrollment form
SELF-SERVICE TUTORIALS:
Current Plan Year 11/1/23 through 10/31/24.
Open Enrollment dates for the 2023 Section 125 plan year will take place fall 2023.
Participants may incur medical expenses up to 70 days after the most recent plan year was completed (by 1/9/24). Participants may incur daycare expenses only during the plan year (by 10/31/23.)
All reimbursable claims for Health and daycare expenses must be requested no later than 90 days after the plan year (by 1/29/24.) This is a "use it or lose it" plan, so be sure to spend the dollars you had withheld from your check in 2022-23!
DEPENDENT DAYCARE FLEXIBLE SPENDING ACCOUNT MAXIMUM LIMIT:
An employee may contribute a maximum of $5,000 pre-tax to pay for dependent day care services in the calendar year.
HEALTH FLEXIBLE SPENDING ACCOUNT MAXIMUM LIMIT:
The maximum allowed by law to contribute pre-tax into this account is $3,050 for 2024.
GET ENROLLED in your Section 125:
Contact your school secretary to schedule a time to meet with the American Fidelity Representative when he comes to your building.
GET REIMBURSED from your Section 125:
Secured Online Service Center - Create an account
American Fidelity Mobile app instructions (compatible with iPhone & iPad)
Medical Flex Reimbursement form
Dependent Day Care reimbursement form
Important Facts to Consider:
1. If you purchased a high deductible health plan (Moda plan 6 or 7) and have opened a Health Savings Account through American Fidelity or other financial institution, you may NOT also use a Section 125 account for Medical Expense reimbursement. Click here to read more about H.S.A.'s.
2. You "use it" or "lose it". All funds deducted from your paycheck for this plan year must be used during this plan year or the funds are forfeited.
3. Keep copies of all receipts and claims.
4. Dependent care must be provided by someone who is reporting his or her income. Payment to an individual who may be claimed by the employee as an exemption for federal tax purposes is not an eligible expense. You may continue "Dependent Daycare Deductions" if you use a Health Savings Account (H.S.A.) for your medical expense reimbursement.
5. You must re-enroll each year to participate.
Click on "BLUE" text to link to the page or website listed.
For a speedy response, send your email questions to Benefits Mail Box
Click here to go directly to the Forms Library and to find Links to Company Resources