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HR Home >> Benefits >> Reimbursement Accounts >> How to File for Benefits

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REIMBURSEMENT ACCOUNTS

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Claim Forms

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Reimbursement Account Claim Form

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Reimbursement Account Direct Deposit Form

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Where to Send Your Request
for Benefit Payments

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The cutoff date for submitting eligible expenses is every Monday. Eligible expenses are processed the next business day (Tuesday). Send your claim to WageWorks at:

WageWorks
P. O. Box 991
Mequon, WI 53092-0991
(866)267-1137
Fax (877)217-9575

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How to File for Benefits

All participants will receive a claims kit. Additional forms are available from WageWorks or the HRIC.

For the Health Care Reimbursement Account, you must submit an itemized bill with your claim as well as an Explanation of Benefits (EOB) if the service was covered under an insurance plan and you are claiming the unreimbursed portion of the health/dental expenses through your Health Care Reimbursement Account. A cancelled check is not allowable under federal law as proof of the expense.

Claims are processed weekly. It is important to file your claim for reimbursement as soon as possible. If you hold your claim until the end of the year, reimbursement may be delayed due to heavy year-end claims activity. The cutoff date for submitting eligible expenses is every Monday. Checks are mailed the next business day (Tuesday). If you have authorized electronic direct deposit, your deposit should appear in your account by Thursday. WageWorks will process your claim and send your reimbursement for eligible expenses and an EOB to your home address on file. 

When you submit a Dependent Care Reimbursement Account claim, you must report the name, address, and Social Security number or taxpayer identification number of each dependent care provider (not required if dependent care provider is a non-profit or religious organization). If you pay for medical, dental, or dependent care expenses in advance, you will be reimbursed once the service is actually performed or received.

Grace Period

You have a grace period — ending on April 15 — to submit paperwork for expenses incurred during the previous calendar year. For example, if you incurred eligible expenses one year, you would have until April 15 of the following year to submit your claim. After April 15, you forfeit any money that was contributed the previous year and was left in your reimbursement accounts. Although you have until April 15 to submit your claims, only expenses from the previous calendar year — Jan. 1 through Dec. 31 — are eligible for reimbursement. As an additional reminder, you must be a participant in the plan during the time period when the expenses are incurred in order to claim them for reimbursement.

 

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