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Department of Human Resources

Flexible Spending Account (FSA) - ASIFlex

Enroll or Make Changes

New Employee Enrollment

Benefit eligible employees may enroll after completing the initial waiting period of 90 days.

Eligible employees interested in participating should complete the FSA Enrollment Agreement .

Enrollment forms should be sent by the first of the month preceding the date of eligibility to ensure timely enrollment. If you fail to enroll within the time period described above, then you may not elect to participate in the Plan until the next FSA Open Enrollment Period or until a qualifying event occurs that would allow a mid-year election change.

Enrollment During Benefits Open Enrollment

The 2022 Benefits Open Enrollment period is CLOSED.
(Plan Year: July 1, 2022 – June 30, 2023)

Enrollment During the Plan Year

You may enroll or make coverage changes during the plan year ONLY if you experience a qualifying event. Qualifying events include, but may not be limited to:

  • Marriage or Divorce
  • Change in employment status (that affects eligibility for health insurance)
  • Birth or adoption
  • Change in Medicare Eligibility
  • Death
  • Change Dependent Care Providers/Cost Change

Eligible employees who experience a qualifying event should complete the FSA Election Change Form .

It is the employee's responsibility to file an election change request within 31 days of the date of the qualifying event with the Statewide Benefits Office. Requests received after 31 days from the qualifying event will not be approved.