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Employer:

Pacific Mental Health, LLC.

5108 196th St SW Ste 350 Lynnwood, WA 98036

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HR, Billing & Credentialing  Contact Information: 

RxDx Medical Billing & Credentialing, LLC.  | www.rxdxbilling.com | (425) 361-2273         

In-House Accounting & Tax Services, LLC.  | www.ihastax.com | (425) 697-3674   

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​REMINDER: After enrolling for benefits, make sure to check or review your paycheck for the deductions or reimbursements to make sure that you are getting the benefits. If you think that there is something missing, inconsistenciesor error, please CONTACT US 

immediately.

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After completing the Forms, securely upload them at:

https://ihastax.securefilepro.com/portal/#/login. (Watch short tutorial here)

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Minimum requirement to qualify for benefits: 

  • Must have been working with PACMH for at least 60 days (including internship days)

  • Must be working an average of 25 hours or 25 clients a week. 

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Disclosure: The minimum requirement to qualify for benefits maybe subject to change at any time. For accurate information please contact your HR Manager, Mercedes Acedo-Castro, hr@pacmh.org.

 

FLEXIBLE SPENDING ACCOUNT (FSA)

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Employees are qualified for either company health insurance plan or Flexible Spending Account (FSA), but CANNOT have both.

 

FSA is an alternate for company sponsored health insurance plan for those who are not enrolling due to qualified reasons. AND, it is only available for employees who currently have health insurance through their partner/spouse employer or through their parents plan.

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Employees who have health insurance through Affordable Health Care Plans (AHCP) are ineligible. You will have to end your  AHCP plan and enroll to PACMH health plan through Regence.

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FSA enrollment is not required. An employee who has qualified health insurance from qualified sources are automatically qualified.

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Changes to company match effective January 1st, 2025:

The $25/month FSA company match will be discontinued. All employees who currently have an active monthly contribution through payroll deduction will continue until December 31, 2024. 

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Accumulated remaining balance will be available for reimbursement until January 31, 2025.

"FSAs are generally "use-it-or-lose-it" plans. This means that amounts in the account at the end of the plan year can't generally be carried over to the next year. However, the plan can provide for either a grace period or a carryover." (page 17 of IRS Publication 969)

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To qualify for FSA reimbursement,

  • an employee must provide proof of their current health insurance plan from qualified sources.

  • each reimbursements must be accompanied by proof of receipt or billing statement from their medical providers.

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The following reimbursements are not allowed:

  • insurance premiums or share of premium.

  • benefits paid by your insurance

  • expenses paid by other form of health insurance savings accounts such as HSA, HRA, and FSA from another source.

  • anything that could be considered as cosmetic procedures

  • vitamins and supplements

  • dependent care paid by other qualified sources, i.e. disability benefit payments, partner/spouse's employer reimbursement

  • undocumented/no proof of expenses paid

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Most medical expenses allowed:

  • copays, deductibles and out-of-pocket medical expenses

  • out-of-pocket expenses such as prescription glasses, retainers and braces, gym membership and massage.

  • some over the counter medical drugs such as pain reliever, cold medicine, allergy sprays, and first aid kits.

  • some medical related travel expenses such as mileage trip to the hospital or doctors visits, parking, public transportation and toll fees. 

  • dependent care for your young children or with special needs member of your family who are your dependents while you and your partner/spouse are both working. 

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Disclosure: Reimbursement amount depends on the accumulated benefit at the time of reimbursement. Check your contract on the amount of benefit per month.

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How to file reimbursements?

Each time a reimbursement is requested, the employee MUST submit the following:​​​​​

1. Proof of expenses (receipt, statements, billing) from their pharmacy, medical service providers.

2. A copy of their medical insurance card (one-time only or when there are changes in their plan during the benefit year). We will verify their plan benefits each time a reimbursements are submitted to make sure that they have a valid insurance at the time of medical expenses. 

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Reimbursement form are not required.

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​IRS References:

Publication 969 (FSA, page 16-17)

Notice n-02-45 (Rules for FSA, page 10, Part V)

Publication 502 (qualified medical and dental expenses)

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CONTACT US FOR HELP

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