Child/Dependent Care Flexible Spending Account

How the Dependent Care Flexible Spending Account works

You can use a dependent care account to pay for dependent care expenses so you (and your spouse) can work.

Eligible Dependent Guidelines
   
Your children under age 13: - The child must be dependent on you for at least 50% of his/her financial support.
- Care may be provided in or outside the home, but not by anyone considered your dependent, such as your older children.
- If care is provided by a facility that cares for more than 6 children, the facility must be licensed.
Your spouse or other dependent
who is physically or mentally incapable of self care:
- He/she must be dependent on you for at least 50% of his/her financial support.
- Care may be provided in or outside the home. However, expenses incurred outside the home (such as a nursing home) are eligible only if the dependent regularly spends at least eight hours a day in your household.

Points to Remember:

  • This account is for dependent day care, not for your dependent expenses on the group medical/dental plan.
  • Only those funds accumulated in your account can be reimbursed.
  • Any excess money left in your account will be forfeited.

How to submit a claim – Child/Dependent Care Flexible Spending Account

Complete a reimbursement form with a signed receipt from your dependent care provider. The receipt must include the name, address and taxpayer identification number or social security number of the provider, the charge, and the dates of service.

Reimbursement forms may be:

faxed to: 309-677-8550
scanned and e-mailed to: click here to email
mailed to: OSF HealthPlans
  P.O. Box 10170
  Peoria, IL 61612
submitted via the website by logging into your account at https://hrbenefitsdirect.com/osf/