You may file a claim for reimbursement only after you or your dependent receives the eligible health care services, even if you paid in advance. You may claim up to the full amount of your annual health care contribution any time during the year, even if you have not yet contributed that amount to your account.

Filing a Claim
Download claim forms from the Flexible Spending Account Forms section of this site or from the SHPS site at http://www.myshps.net, or contact the HR/Payroll Service Center.

Complete and sign the claim form, and include an itemized receipt or an explanation of benefits (EOB) from your insurance company for proof of services rendered. Please refer to the reverse side of the claim form for additional filing instructions and all other requirements regarding supporting documentation.

• Mail your claim to SHPS at:
  SHPS FSA Processing Center
  P.O. Box 34740
  Louisville, KY 40232
  
• Fax your claim to SHPS at 1-877-270-3922, a toll-free fax number dedicated to the exclusive use of University of Michigan FSA participants.

Claims Deadline
You can submit claims for 2007 expenses until May 31, 2008. By law, any unclaimed money remaining in your 2007 account(s) on June 1, 2008, is forfeited and will not be returned to you. You can submit claims for 2008 expenses until May 31, 2009. Any unclaimed money remaining in your 2008 account(s) on June 1, 2009, is forfeited.

SHPS processes claims daily to ensure prompt reimbursement. If the expenses are eligible and all necessary documentation has been provided with your claim form, your claim should be paid by SHPS on a timely basis.

Other Important Guidelines

• The Health Care FSA does not replace your insurance plan. You should first submit your claims to your medical, prescription drug, dental, or vision plan for payment according to the plan limits. Remaining out-of-pocket expenses can then be submitted to SHPS for reimbursement.
• You must submit claims yourself; claims submitted by a spouse or other family member will be returned.
• SHPS will not accept cancelled checks in lieu of a bill or receipt. Statements showing only previous balances—or the amounts paid or balances due—are not acceptable documentation.
• You must certify on the claim form that your expenses are eligible under the program by signing the form. SHPS will not process a claim if the form does not include your signature.
• With the Health Care FSA, you have access to the total amount you elected for the plan year as soon as eligible expenses are incurred.

Electronic Fund Transfer (EFT)