Macon County Schools Ameriflex FSA 2025

An account for setting aside tax-free money for healthcare expenses.

Use the below information to determine if a Flexible Spending Account (FSA) is right for you and how to best take advantage of an FSA account.

How It Works

When you enroll in a Flexible Spending Account (FSA) you get to experience tax savings on qualified expenses such as copays, deductibles, prescriptions, over-the-counter drugs and medications, and thousands of other everyday items.

Can I have an FSA and an HSA?

You can’t contribute to an FSA and HSA within the same plan year. However, you can contribute to an HSA and a limited purpose FSA, which only covers dental and vision expenses.

As per IRS Publication 969, an employee covered by an HDHP and a health FSA or an HRA that pays or reimburses qualified medical expenses generally can’t make contributions to an HSA. An employee is also not HSA-eligible during an FSA Grace Period. An employee enrolled in a Limited Purpose FSA is HSA-eligible.

As a married couple, one spouse cannot be enrolled in an FSA at the same time the other is contributing to an HSA. FSA coverage extends tax benefits to family members allowing the FSA holder to be reimbursed for medical expenses for themselves, their spouse, and their dependents.

The Value & Perks

– Election Accessibility: You will have access to your entire election on the first day of the plan year.

– Save On Eligible Expenses: You can save up to 40% on thousands of eligible everyday expenses such as prescriptions, doctor’s visits, dental services, glasses, over-the-counter medicines, and copays.

– Keep More Money: The funds are taken out of your paycheck “pre-tax” (meaning they are subtracted from your gross earnings before taxes) throughout the course of the year. Let’s say you earn $40,000 a year and contribute $1,500 to an FSA; so, only $38,500 of your income gets taxed. That means you are increasing your take-home pay simply by participating!

– Easy Spending and Account Management: Employees will receive an Ameriflex Debit Mastercard linked to their FSA. Employees can use their card for eligible purchases everywhere Mastercard is accepted. Account information can be securely accessed 24/7 online and through the mobile app.

Eligible FSA Expenses

The IRS determines what expenses are eligible under an FSA. Below are some examples of common eligible expenses:

– Deductibles

– Copays

– Prescriptions

– Teeth cleaning

– LASIK

– Glasses and contact lenses

– Band-aids

– Sunscreen

– Over-the-counter medicine (prescription required)

– Feminine menstrual care

For a full list of eligible expenses, go to myameriflex.com/eligibleexpenses.

The “Use-or-Lose” Rule

If you contribute dollars to a reimbursement account and do not use all the money you deposit, you will lose any remaining balance in the account at the end of the eligible claims period. This rule, established by the IRS as a component of tax-advantaged plans, is referred to as the “use-or-lose” rule.

To avoid losing any of the funds you contribute to your FSA, it’s important to plan ahead as much as possible to estimate what your expenditures will be in a given plan year.

 

Macon County Schools Enrollment Instruction – Harmony 2025

Below is a series of instructions outlining the online self-enrollment process. Please have the following information available before you begin:

– Username, password, and enrollment website URL from Step 1 of this page

– Dates of birth and social security numbers of your spouse and any dependents you wish to enroll

– Beneficiary names and social security numbers

Helpful Tips:

– If you are a new employee, please refer here for more information or contact PGB’s Employee Services at 888-662-7500 between 8:30am and 5:00pm for assistance.

– If you are an existing employee and unable to login to the online system, please contact the Harmony Help Desk at 866-875-4772 between 8:30am and 6:00pm, or speak with the Benefits Representative assigned to your location.

How To Enroll:

1. Logging In 

Enter your User Name: MAC6R5T- and then Last Name and then Last 4 of Social Security Number (MAC6R5T-SMITH6789)

Enter your Password: Four digit Year of Birth and then Last 4 of Social Security Number (19766789)

To login, visit: https://harmonyenroll.coloniallife.com

2. Creating a New Password

You will be prompted to create a new password. Your password must have: 1 lowercase letter, 1 uppercase letter, 1 number, and 8 characters minimum.

Your password cannot include: first name, last name, spaces, special characters (such as ! $ % &), or User ID.

3. Secure Your Account

Choose a security question and enter answer.

4. Begin Enrollment

Click on ‘I Agree’ and then ‘Enter My Enrollment’.

5. Verification

The screen will display ‘Me & My Family’. Verify that the information is correct and enter the additional required information requested (title, marital status, work phone, e-mail address).

Click ‘Save & Continue’ twice.

6. Family Member Information

The screen will display the option to add family members. It is only necessary to enter family member information if adding or including family members in your coverage.

Click ‘Continue’.

7. Personal Information

The screen shows updated personal information. Verify that the information is correct and make changes if necessary.

Click ‘Continue’.

8. Review Elections

The screen shows ‘My Benefits’. Review your current benefits and make changes/selections for the upcoming plan year.

9. Finish Enrollment
10. Confirm Elections

Click ‘I Agree’ to electronically sign the authorization for your benefit elections.

11. Print & Log Out

Click ‘Print a copy of your Elections’ to print a copy of your elections, or download and save the document. Please do not forget this important step!

Click ‘Log out & close your browser window’ and click ‘Log Out’.

Macon County Schools Important Information About Your Enrollment 2025

IN-PERSON & SELF-ENROLL

During your open enrollment period, a PGB Benefits Representative will be available by appointment to meet with you one-on-one to help you evaluate your benefits based on your individual and family needs, answer any questions you may have, and assist you in the enrollment process. If you prefer, you may also self-enroll online following the instructions on the Enrollment Instructions page of this site.

OPEN ENROLLMENT PERIOD: November 4, 2024 – December 6, 2024

YOU CAN MAKE THE FOLLOWING BENEFIT ELECTIONS DURING THE OPEN ENROLLMENT PERIOD:

– Enroll/Re-Enroll in Flexible Spending Accounts.+
– Enroll in, change, or cancel Dental Insurance.
– Enroll in, change, or cancel Vision Insurance.
– Enroll in, change, or cancel Group Term Life Insurance.
– Enroll in, change, or cancel Telemedicine coverage (DIRECT BILLING ONLY*).**
– Enroll in, change, or cancel Colonial coverage.

+You will need to re-enroll in the Flexible Spending Accounts if you want them to continue each year.
*The Telemedicine plan is available by Direct Billing only. No deductions will be taken via payroll deduction.
**Please see the coordinating pages of your Benefits Guide for enrollment instructions for the Telemedicine plan.

 

IMPORTANT NOTE & DISCLAIMER

This is neither an insurance contract nor a Summary Plan Description and only the actual policy provisions will prevail. All information on this microsite including premiums quoted is subject to change. All policy descriptions are for information purposes only. Your actual policies may be different than those on this microsite.

Macon County Schools Overview of Benefits 2025

Pre-Tax Benefits

Flexible Spending Account: Ameriflex
– Medical Reimbursement Maximum: $2,000/year
You will need to re-enroll in the Flexible Spending Accounts if you want them to continue next year.
IF YOU DO NOT RE-ENROLL, YOUR CONTRIBUTION WILL STOP EFFECTIVE DECEMBER 31, 2024.

Dental InsuranceBlue Cross Blue Shield

Vision InsuranceSuperior Vision

Cancer Benefits: Colonial Life

Accident BenefitsColonial Life

Medical Bridge BenefitsColonial Life

 

Post-Tax Benefits

Disability BenefitsColonial Life

Critical Illness BenefitsColonial Life

Life InsuranceColonial Life
– Term Life Insurance
– Whole Life Insurance

Group Term Life InsuranceThe Hartford

Telemedicine Benefits: Call A Doctor Plus – Direct Billing Only

Additional Benefits

Student Loan Assistance Program: GradFin

 

Please note your insurance products will remain in effect unless you speak with a representative to change them.

 

Enrollment Period: November 4, 2024 – December 6, 2024

Effective Dates:

January 1, 2025 – December 31, 2025
(Colonial, FSA, & Dental)

February 1, 2025 – January 31, 2026
(Vision & GTL)

 

ELIGIBILITY:

– Employees must work 30 or more hours per week to be eligible for benefits.

IMPORTANT NOTICES:

When do my benefits start? The plan year for Ameriflex Spending Accounts, Colonial Life Insurance Products, and Blue Cross Blue Shield Dental runs from January 1, 2025 through December 31, 2025. The plan year for The Hartford Group Term Life and Superior Vision runs from February 1, 2025 through January 31, 2026.

When do my deductions start? Deductions for Ameriflex Spending Accounts, Colonial Life Insurance Products, The Hartford Group Term Life, Blue Cross Blue Shield Dental, and Superior Vision start January 2025 for enrolled employees. The Call A Doctor Plus Telemedicine plan is available by Direct Billing only. No deductions will be taken via payroll deduction.

Why have my Cancer, Accident, or Medical Bridge benefits not started yet? The Colonial Cancer plan and the Health Screening Rider on the Colonial Accident and Colonial Medical Bridge plan have a 30-day waiting period for new enrollees. Coverage, therefore, will not begin until January 31, 2025.

How do Flexible Spending Account (FSA) funds work, and do my FSA funds have to be used by a specific deadline? Flexible Spending Account expenses must be incurred during the plan year to be eligible for reimbursement. After the plan year ends, an employee has 90 days to submit claims for incurred qualified spending account expenses (or 90 days after employment termination date). If employment is terminated before the plan year ends, the spending account also ends. Failure to use all allotted funds in the FSA account will result in a “Use It or Lose It” scenario.

My spouse is enrolled in an Health Savings Account (HSA), am I eligible for an FSA? As a married couple, one spouse cannot be enrolled in a Medical Reimbursement FSA at the same time the other opens or contributes to an HSA.

How do Dependent Care Account (DCA) funds work and when do they need to be used? Dependent Care Accounts are like FSA accounts and allow you to request reimbursement up to your current balance. However, you cannot receive more reimbursement than what has been deducted from your pay. It’s important to note that any remaining funds in your DCA account must be utilized before the deadline. Failure to use all allotted funds in the DCA account will result in a “Use It or Lose It” scenario.

When will I get my card? If you will be receiving a new debit card, whether you are a new participant or to replace your expired card, please be aware that it may take up to 30 days following your plan effective date for your card to arrive. Your card will be delivered by mail in a plain white envelope. During this time you may use manual claim forms for eligible expenses. Please note that your debit card is good through the expiration date printed on the card.

I want to sign my family up for benefits as well, what information will I need? If signing up for any coverage on your spouse and/or children, please have their dates of birth and social security numbers available when speaking with the Benefits Representative.

What is the difference between pre and post-tax benefits? Pre-tax benefit contributions are taken from an employee’s paycheck before state and federal taxes are applied. Post-tax benefit contributions are paid after taxes are deducted. It’s important to note that some coverages may still be subject to taxes even if paid for through pre-tax deduction or employee contribution.

Can I change my benefit elections outside of the enrollment period? Elections made during this enrollment period CANNOT BE CHANGED AFTER THE ENROLLMENT PERIOD unless there is a family status change, otherwise known as a qualifying life event (QLE), as defined by the Internal Revenue Code. Examples of a QLE can be found here.

I have a pre-existing condition. Will I still be covered? Some policies may include a pre-existing condition clause. Please read your policy carefully for full details.

Clover School District Forms & Links 2025 PY

Colonial Life

Student Loan Assistance Program

Employee Assistance Program (EAP)

Long Term Care

Clover School District First Sun EAP

Counseling Services

You and your household members receive five free and confidential sessions. It’s easy to use your Employee Assistance Program (EAP).

  1. Call 800-968-8143 or fill out the online Request My Benefit form.
  2. Speak confidentially with an intake specialist about your situation or request.
  3. Receive professional support to assist you in reaching your goals.

Your EAP is provided by your employer at no additional cost to you. If you qualify for your insurance plan, regard-less if you participate in that plan, you and your household family members are eligible for EAP services. Everyone is automatically enrolled and receives their own set of counseling and life management services. When you call, please provide your name and company funding the EAP benefit. Individual use of your EAP is confidential and not reported to your employer or manager. Counseling sessions are confidential in compliance with the law.

When your personal or professional life becomes challenging, our licensed counselors are here to help. Here are some concerns counseling addresses:

– Grief and Loss
– Stress Management
– Alcohol/Substance Use
– Relationship Conflict
– Anxiety
– Depression
– Trauma
– Anger Management
– Spiritual Matters
– Workplace Concerns
– Work-life Balance
– Behavioral Change

Explore the Website

Head to the My EAP tab and select Employees and Families to explore the detailed information about your benefits. Log into the Well-being and Training Center for helpful articles, assessments, calculators, courses, webinars, videos and a resilience program for your personal and professional growth.

Life Management Services

You and your household members receive five free life management services. We’re here to help when you’re ready.

Make the call to make a difference.

You and your household members have access to First Sun EAP’s award-winning Employee Assistance Program (EAP). Our services are designed to enhance your personal and professional well-being.

We do better so you can be better.

Our highly seasoned and credentialed staff are invested in you. They are professionally trained to assess your needs and get you to the necessary resources for an optimal outcome.

Financial Consultations — Financial coaches assist with planning for retirement, reorganizing the family budget, and managing a financial crisis.

Legal Services — Our website holds a wealth of personal and legal documents, and legal information. You may also call for a free legal consultation. All legal services are provided by licensed attorneys.

Elder and Adult Care Resources — Receive resources and referrals for the elderly, disabled adults and their caregivers during your consultation with our specialists.

Child Care Resources — Consultants advise on how to select child care resources and address child care needs for child care centers, summer camps, in-home care, after-school care and disability resources.

Education Referrals — Consultants are available for students and working adults who desire assistance with continuing education. Identify referrals for financial aid, test preparation and school/college selection.

Adoption Support — Specialists provide referrals to adoption agencies, attorneys, and support groups.

Home and Life Resources — Simplify your to-do list and get information and referrals for household repairs, transportation, grocery delivery, housing rental searches, community connections and more.

Work and Career Referrals — Experts help with a range of topics like career transitions, interview skills, tip sheets.

Health and Well-being Referrals — Receive referrals on well-being topics such as specialty care, fitness centers, nutritionists and various support groups.

Pet Care Referrals — Consultants offer comprehensive referral services to assist with veterinary selection, emergency care, groomers, walkers, pet sitting, boarding, and training and obedience programs.

Contact Us

Call us 24/7/365 at 800-968-8143 or visit www.firstsuneap.com

Clover School District Enrollment Instructions – BenSelect 2025 PY

Below is a series of instructions outlining the online self-enrollment process. Please have the following information available before you begin:

– Username, pin, and enrollment website URL from Step 1 of this page

– Dates of birth and social security numbers of your spouse and any dependents you wish to enroll

– Beneficiary names and social security numbers

Helpful Tips:

– If you are a new employee, please refer here for more information or contact PGB’s Employee Services at 888-556-0006 between 8:30am and 5:00pm for assistance.

– If you are an existing employee and unable to log into the online system, please contact PGB’s Employee Services at 888-556-0006, or speak with the Benefits Representative assigned to your location.

How To Enroll:

1. Logging In 

Enter your User Name: Social Security Number with or without dashes (ex. 123-45-6789 or 123456789)

Enter your Pin: Last 4 numbers of your Social Security Number followed by last 2 numbers of your Date of Birth year (ex. 678970)

To login, visit: harmony.benselect.com/clover

2. New PIN

The screen prompts you to create a NEW PIN [__________].

3. Security Questions

Choose a security question and enter answer [__________].

4. Confirm

Confirm (or enter) an email address.

5. Save New PIN

Click on ‘Save New PIN’ to continue to the enrollment welcome screen.

6. Click Next

From the welcome screen click “Next”.

7. Personal Information

The screen shows ‘Personal Information’. Verify that the information is correct and enter the additional required information (marital status, work phone, e-mail address). Click ‘Next’.

8. Adding Family Members

The screen allows you to add family members. It is only necessary to enter family member information if adding or including family members in your coverage. Click ‘Next’.

9. Benefit Summary

The screen shows ‘Benefit Summary’. Review your current benefits and make changes/selections for the upcoming plan year.

10. Sign & Submit

Click ‘Sign & Submit’ once you have decided which benefits to enroll in.

11. Review

Review your coverage. If any items are ‘Pending’, you will need to decide whether to enroll or decline this benefit.

12. Next

Click ‘Next’ to review and electronically sign the authorization for your benefit elections.

13. Sign Form

Review the confirmation, then if you are satisfied with your elections, enter your PIN and click ‘Sign Form’.

14. Download & Print

Click ‘Download & Print’ to print a copy of your elections, or download and save the document. Please do not forget this important step! Click ‘Log Out’.

Clover School District Important Information About Your Enrollment 2025 PY

IN-PERSON & SELF-ENROLL

During your open enrollment period, a PGB Benefits Representative will be available by appointment to meet with you one-on-one to help you evaluate your benefits based on your individual and family needs, answer any questions you may have, and assist you in the enrollment process. If you prefer, you may also self-enroll online following the instructions on the Enrollment Instructions page of this site.

OPEN ENROLLMENT PERIOD: November 18, 2024 – December 13, 2024

ELIGIBILITY:

– Employees must work at least 30 hours per week.

IMPORTANT NOTICES:

– When do my supplemental benefits start? The plan year for Colonial Insurance Products and CHUBB Long Term Care Benefits runs from January 1, 2025 through December 31, 2025.

– When do my deductions for my supplemental start? Deductions for Colonial Insurance Products and CHUBB Long Term Care Benefits start January 2025 for enrolled employees.

– Why have my supplemental Cancer, Accident, or Medical Bridge benefits not started yet? The Colonial Cancer plan and the Health Screening Rider on the Colonial Accident and Colonial Medical Bridge plan have a 30-day waiting period for new enrollees. Coverage, therefore, will not begin until January 31, 2025.

– What is an EAP? Your employer offers an Employee Assistance Program (EAP) for you and your eligible family members. An EAP is an employer-sponsored benefit that offers confidential support and resources for personal or work-related challenges and concerns. Please see the EAP pages of this benefit guide for more details and contact information.

– I want to sign my family up for benefits as well, what information will I need? If signing up for any coverage on your spouse and/or children, please have their dates of birth and social security numbers available when speaking with the Benefits Representative.

– What is the difference between pre and post-tax benefits? Pre-tax benefit contributions are taken from an employee’s paycheck before state and federal taxes are applied. Post-tax benefit contributions are paid after taxes are deducted. It’s important to note that some coverages may still be subject to taxes even if paid for through pre-tax deduction or employee contribution.

Can I change my supplemental benefit elections outside of the enrollment period? Elections made during this enrollment period CANNOT BE CHANGED AFTER THE ENROLLMENT PERIOD unless there is a family status change, otherwise known as a qualifying life event (QLE), as defined by the Internal Revenue Code. Examples of a QLE can be found here.

I have a pre-existing condition. Will I still be covered? Some policies may include a pre-existing condition clause. Please read your policy carefully for full details.

YOU CAN MAKE THE FOLLOWING SUPPLEMENTAL BENEFIT ELECTIONS DURING THE OPEN ENROLLMENT PERIOD:

– Enroll in, change, or cancel Long-Term Care Benefits.

– Enroll in, change, or cancel Colonial coverage.

 

IMPORTANT NOTE & DISCLAIMER

This is neither an insurance contract nor a Summary Plan Description and only the actual policy provisions will prevail. All information on this microsite including premiums quoted is subject to change. All policy descriptions are for information purposes only. Your actual policies may be different than those on this microsite.

Clover School District Overview of Supplemental Benefits 2025 PY

PRE-TAX SUPPLEMENTAL BENEFITS

Cancer Benefits: Colonial Life

Accident BenefitsColonial Life

Medical Bridge BenefitsColonial Life

 

POST-TAX SUPPLEMENTAL BENEFITS

Short-Term Disability BenefitsColonial Life

Critical Illness BenefitsColonial Life

Whole Life InsuranceColonial Life

 

ADDITIONAL SUPPLEMENTAL BENEFITS

Student Loan Assistance Program: GradFin

Employee Assistance Program: First Sun – Employer-Paid Benefit

 

Please note your insurance products will remain in effect unless you speak with a representative to change them.

 

Enrollment Period: November 18, 2024 – December 13, 2024

Effective Dates: January 1, 2025 – December 31, 2025

 

 

City of Lancaster Enrollment Instructions – Harmony 2025 PY

Below is a series of instructions outlining the online self-enrollment process. Please have the following information available before you begin:

– Username, password, and enrollment website URL from Step 1 of this page

– Dates of birth and social security numbers of your spouse and any dependents you wish to enroll

– Beneficiary names and social security numbers

Helpful Tips:

– If you are a new employee, please refer here for more information or contact PGB’s Employee Services at 888-662-7500 between 8:30am and 5:00pm for assistance.

– If you are an existing employee and unable to login to the online system, please contact the Harmony Help Desk at 866-875-4772 between 8:30am and 6:00pm, or speak with the Benefits Representative assigned to your location.

How To Enroll:

1. Logging In 

Enter your User Name: CIT5X2V- and then Last Name and then Last 4 of Social Security Number (CIT5X2V-SMITH6789)

Enter your Password: Four digit Year of Birth and then Last 4 of Social Security Number (19766789)

To login, visit: https://harmonyenroll.coloniallife.com

2. Creating a New Password

You will be prompted to create a new password. Your password must have: 1 lowercase letter, 1 uppercase letter, 1 number, and 8 characters minimum.

Your password cannot include: first name, last name, spaces, special characters (such as ! $ % &), or User ID.

3. Secure Your Account

Choose a security question and enter answer.

4. Begin Enrollment

Click on ‘I Agree’ and then ‘Enter My Enrollment’.

5. Verification

The screen will display ‘Me & My Family’. Verify that the information is correct and enter the additional required information requested (title, marital status, work phone, e-mail address).

Click ‘Save & Continue’ twice.

6. Family Member Information

The screen will display the option to add family members. It is only necessary to enter family member information if adding or including family members in your coverage.

Click ‘Continue’.

7. Personal Information

The screen shows updated personal information. Verify that the information is correct and make changes if necessary.

Click ‘Continue’.

8. Review Elections

The screen shows ‘My Benefits’. Review your current benefits and make changes/selections for the upcoming plan year.

9. Finish Enrollment
10. Confirm Elections

Click ‘I Agree’ to electronically sign the authorization for your benefit elections.

11. Print & Log Out

Click ‘Print a copy of your Elections’ to print a copy of your elections, or download and save the document. Please do not forget this important step!

Click ‘Log out & close your browser window’ and click ‘Log Out’.

City of Lancaster Important Information About Your Enrollment

IN-PERSON & SELF-ENROLL

During your open enrollment period, a PGB Benefits Representative will be available by appointment to meet with you one-on-one to help you evaluate your benefits based on your individual and family needs, answer any questions you may have, and assist you in the enrollment process. If you prefer, you may also self-enroll online following the instructions on the Enrollment Instructions page of this site.

OPEN ENROLLMENT PERIOD: November 4, 2024 – November 8, 2024
ELIGIBILITY:

– Employees must work 30 hours or more per week to qualify for supplemental benefits.

IMPORTANT NOTICES:

– When do my supplemental benefits start? The plan year for Colonial Insurance Products runs from January 1, 2025 through December 31, 2025.

– When do my deductions for supplemental benefits start? Deductions for Colonial Insurance Products start January 2025 for enrolled employees.

– Why have my supplemental Cancer, Accident, or Medical Bridge benefits not started yet? The Colonial Cancer plan and the Health Screening Rider on the Colonial Accident and Colonial Medical Bridge plan have a 30-day waiting period for new enrollees. Coverage, therefore, will not begin until January 31, 2025.

– What is the difference between pre and post-tax supplemental benefits? Pre-tax benefit contributions are taken from an employee’s paycheck before state and federal taxes are applied. Post-tax benefit contributions are paid after taxes are deducted. It’s important to note that some coverages may still be subject to taxes even if paid for through pre-tax deduction or employee contribution.

Can I change my benefit elections outside of the enrollment period? Elections made during this enrollment period CANNOT BE CHANGED AFTER THE ENROLLMENT PERIOD unless there is a family status change, otherwise known as a qualifying life event (QLE), as defined by the Internal Revenue Code. Examples of a QLE can be found here.

I have a pre-existing condition. Will I still be covered? Some policies may include a pre-existing condition clause. Please read your policy carefully for full details.

 

YOU CAN MAKE THE FOLLOWING SUPPLEMENTAL BENEFIT ELECTIONS DURING THE OPEN ENROLLMENT PERIOD:

– Enroll in, change, or cancel Colonial coverage.

 

IMPORTANT NOTE & DISCLAIMER

This is neither an insurance contract nor a Summary Plan Description and only the actual policy provisions will prevail. All information on this microsite including premiums quoted is subject to change. All policy descriptions are for information purposes only. Your actual policies may be different than those on this microsite.