City of Riverside California Human Resources
:: Flexible Spending Plan

The City's, Section 125 Flexible Spending Account for Out-of Pocket Health related expenses and Dependent care cost will be administered by TRIADClick to view Triad FSA Website for 2010. See TRIAD FSA Brochure. This plan allows employees to redirect a portion of their salaries to pay for the expenses on a pre-tax basis. Options under this plan are as follows:

The Flexible Spending Account enrollment packet contains complete details of benefits and exclusions.  The City of Riverside Human Resources Department and TRIAD Member Services are also available to answer questions.

Options available are:

  1. Employee paid deductions for health and/or dental group insurance premiums are automatically deducted on a pretax basis with no charge.
  2. Out-of-pocket Expenses such as co-pays, prescriptions, deductibles, etc., that are not covered by insurance can be claimed. The maximum that employees can elect on Out-of-Pocket Health related expenses for 2010 will be $3,000.
  3. Child and dependent care costs for qualified individuals. Tuition costs for private schools are excluded. The maximum contribution is $5000 per year. Claim forms are available in Human Resources and should be submitted be submitted to TRIAD directly
  4. Did you know that in 2010, you can take advantage of the Flex Card Insert, click on site for more information.

There is no monthly fee for option 1, however, for  any combination of 1, 2 and/or 3 the monthly fee is $6.50.

Employees should calculate anticipated costs carefully.

  1. Amounts not claimed by the end of the year are forfeited.
  2. Once an employee signs up to participate in the plan, he/she cannot stop or change contributions unless they or a dependent experiences a material change in economic circumstances.

These are provisions under Section 125 of the IRS Code. Questions regarding qualified deductions should be directed to TRIAD at (888) 844-1372.

Enrollment

  1. Enrollment forms are due in Human Resources within 30 days of date of hire.
  2. Coverage is effective the first of the month following 30 days of employment for the Health and Dental Premium only option. The Out-of-Pocket Health Care and Dependent Care deductions are effective the first of the month following date of hire.
  3. If forms are not submitted within 30 days of hire, employees must wait until the next open enrollment period.

Changes

Per Section 125 of the IRS Code, once started, this plan cannot be stopped or changed unless:

  1. The employee and/or a member of his or her family experiences a "material economic change."
  2. The employee separates service from the City of Riverside.
 
Flexible Spending Acct
Benefit Information
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QUESTIONS?
Contact the Human Resources
Benefits Division
Telephone: (951) 826-5639
Fax: (951) 826-2421
Email: Citybenefits@riversideca.gov

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