Flexible Spending Plan (FSA)
The City's, Section 125 Flexible Spending Account for Out-of Pocket Health related expenses and Dependent care cost
are administered by
TRI-AD. This plan allows employees to redirect a portion of their
salaries to pay for the qualified Health Care or Dependent Care expenses on a pre-tax basis.
The Flexible Spending Account documents listed to the right contain complete details of benefits and exclusions.
Please contact the City of Riverside Human Resources Department or
TRI-AD Member Services for additional questions.
Also, please visit the Benefit Forms website, for a list of
all TRI-AD forms/brochures you may find useful.
OPTIONS AVAILABLE ARE
- Health Care out-of-pocket expenses such as co-pays, prescriptions, deductibles, etc., that are not covered by insurance can be claimed
(please refer to the TRI-AD FSA Brochure for details). The maximum that employees can elect on out-of-pocket Health related expenses is $2,600.
- Child and dependent care costs for qualified individuals. Tuition costs for private schools are excluded. The maximum contribution is $5,000 per year.
Claim forms are available in Human Resources and should be submitted be submitted to
There is a monthly fee of $6.00 for enrolling in one or both FSA plans.
EMPLOYEES SHOULD CALCULATE ANTICIPATED COSTS CAREFULLY
- Amounts not claimed by the end of the year for
Dependent Care will be forfeited.
Amounts left in a Health Flexible
Spending Account, up to $500 may be carried over into
the next plan year.
- 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
These are provisions under Section 125 of the IRS Code. Questions regarding qualified deductions should be directed to
TRI-AD at (888) 844-1372.
- As a new hire, enrollment must be made within 30 days of the date of hire, using the Employee Online System.
- The Out-of-Pocket Health Care and Dependent Care deductions are effective the first of the month following date of hire.
- If enrollment is not completed within 30 days of hire, employees must wait until the next open enrollment period.
- Active, benefitted employees, can enroll in a FSA plan during the Open Enrollment period using the Employee Online System.
Coverage is effective January 1st.
Per Section 125 of the IRS Code, once started, this plan cannot be stopped or changed unless:
- The employee and/or a member of his or her family experiences a "material economic change."
- The employee separates service from the City of Riverside.