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Human Resources

Waller Hall, First Floor
Willamette University
900 State Street
Salem, Oregon 97301

503-370-6210 voice

503-370-6570 fax

Section 125 Flexible Spending Program

Summary Plan Description

2006 Summary of Material Modification

2008-2009 Plan Information Sheet

Flex 125 Plan Enrollment Form

Health Insurance Opt Out Form

Flex 125 Reimbursement Request Form

 Benny Card Information

Eligible Medical Expenses (over the counter and procedures)

Types of Accounts

The Unreimbursed Health Spending Account allows employees to submit out-of-pocket medical expenses (not premiums) for reimbursement by the plan. The employee has the option of using a convenient flex-spending debit card called "Benny" for purchases made against their account. Up to $5,000 per plan year may be reimbursed through this account. The plan allows expenses to be paid prior to the actual monies being withheld from an employee's paycheck

The Dependent Care Spending Account allows employees to submit dependent care expenses, such as a child's daycare fees, for reimbursement by the plan. This plan also allows up to $5,000 per year in eligible dependent care expenses, but the IRS imposes certain limits if you are married and your spouse participates in a dependent care plan with his/her employer, or if you are married but filing separately on your income taxes.

The Payroll Deducted Group Insurance Premiums program allows employees to have their health and dental insurance premiums (only those sponsored by Willamette University), as well as some of the premiums paid for participation in some of the AFLAC voluntary benefit programs, to be withheld from their checks on a pre-tax basis. Participation in this plan is automatic if an employee is enrolled in Willamette's group health and/or dental plans where the employee has premium responsibility (ie. for dependent coverage).

For forms and additional information, go to Manley Services by clicking the following link:

Manley Services