WebSubmit your claim online through ASIFlex, State of New Hampshire's FSA administrator. Submit claims using ASIFlex's free mobile app . Complete a Health Reimbursement Account (HRA) Claim Form and submit a receipt for each expense incurred. WebASIFlex is the carrier for this plan. Visit their online portal here: ASIFlex . There are three voluntary ways an individual can elect to participate in the FlexComp Plan: Pre-tax eligible insurance premiums (premium conversion) Medical Flexible Spending Account Dependent Care Flexible Spending Account
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WebFlexible Spending Account (FSA) All full-time permanent State employees are eligible for to set aside money through pre-tax payroll deduction to help pay for eligible health care … WebMar 29, 2024 · If you have claims that were processed under the 2024 plan year instead of the 2024 plan year or which may have been denied in error, please contact ASIFlex at (800) 659-3035 or [email protected]. Deadline to Claim Funds You must submit claims for services provided in 2024 by June 30, 2024. the golden bakery perth
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WebPPE-Personal protective equipment purchased January 1, 2024 or later is eligible. PPE includes certain masks, hand sanitizers and hand sanitizing wipes if used for the prevention of COVID-19. See Personal Protective Equipment below. Over-the-counter drugs and medicines purchased on or after January 1, 2024 are eligible without a prescription. WebASIFlex . PO Box 6044 . Columbia, MO 65205-6044 . FAX 1.877.879.9038 . Keep a copy of your documentation and claim form for your records. ... (Last, First, MI) Social Security No. or EID Your Employer’s Name STATE OF NEW HAMPSHIRE Address City State Zip Code E-mail Address Telephone Number Do you wish to receive text* notifications? (If yes ... WebDivision of Risk and Benefits Agriculture, Markets, and Food Department Aging, Commission on Air Quality Alcohol and Other Drug Use Professionals, Board of Allied Health Professionals Americorps, New Hampshire Amusement Ride Safety Animal Cruelty Architects, Board of Archives and Records Management Arts Council Attorney General's … the golden ball bridgwater