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  • Flexible Spending Account (FSA) claim substantiation | Compliance . . .
    FSA claim substantiation requirements Among the critical FSA rules is the requirement to substantiate every participant's claim Participants can only use FSA funds for their own and dependent's healthcare Substantiation is just a fancy way of saying the participant proved to the plan that funds will be used for an eligible expense incurred
  • IRS Explains High Standards for Substantiating FSA Claims
    Examples of not meeting the substantiation requirements Self-certification A health FSA that includes a feature where only the employee provides information regarding a claim for reimbursement of medical expenses, without a statement from an independent third party verifying the expenses, does not meet substantiation requirements
  • When Do I Substantiate My FSA and HRA Purchases for the IRS . . .
    Pay as you would with your FSA or HRA debit card and you're all set Auto-substantiation is most commonly seen at large, national retailers and pharmacies Big stores like Target, Costco, Walgreens, CVS, Amazon and the FSA Store are a few examples of retailers who are currently set up to auto-substantiate your FSA or HRA purchases
  • Why FSA substantiation matters and what to look for - WEX Inc.
    If the IRS determines your FSA is or was not in compliance with substantiation requirements, your FSA could become disqualified Last year’s memorandum states that any FSA not following substantiation rules does not comply with IRS Code Section 125 and any employee contributions to a noncompliant plan is subject to income, FICA, and FUTA taxes
  • 2021-0013 - Internal Revenue Service
    Medical expenses paid or reimbursed from a health FSA are excludible from gross income An independent third party that substantiates the expenses must verify medical expenses paid or reimbursed from a health FSA Substantiation for medical expenses includes: • information describing the service or product, • date of service or sale, and the
  • IRS Requirements For FSA Claim Substantiation
    De minimis claims substantiation levels Automatic substantiation for certain providers Advance approval of dependent care claims Consequences of Non-Compliance If a medical or dependent care FSA plan does not follow the claims substantiation rules, the entire plan may be non-compliant with IRS Code Section 125 In that case, all employee
  • What is FSA substantiation? Understanding why receipts are needed and . . .
    Understanding these details can help you make the most of your FSA while avoiding confusion and frustration How FSA substantiation works FSA funds can be used for eligible healthcare expenses, but every transaction must be properly substantiated—meaning documented and approved The IRS requires this step to ensure that FSA dollars are only
  • Since you asked: Are FSA claims required to be substantiated?
    ERISA, which applies to health FSAs but not dependent care FSAs, requires plans to follow certain claims procedures but does not impose substantiation requirements Instead, substantiation requirements for FSAs are imposed under the Internal Revenue Code — requirements that have been in force since FSAs became available
  • IRS Explains FSA Substantiation Rules - Groom Law Group
    On April 28, 2023, the Internal Revenue Service (“IRS”) Office of Chief Counsel issued a Chief Counsel Advice (“CCA”) explaining the requirements for claim substantiation for health and dependent care flexible spending accounts (“FSAs”) Although the CCA only discusses FSAs, presumably, the IRS would apply these same rules to health reimbursement arrangements
  • Understanding Claim Substantiation | Employee Benefits Corporation . . .
    EBC does not request substantiation January – March based on the data that is provided from the merchant In April, the supporting documentation is not transmitted to EBC due to a system outage EBC will request substantiation for the April claim In subsequent months, the information is again transmitted, and substantiation is not required





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