FSA Dependent Care Recurring Expense Claim Form

Home Contact Us Login Dependent Care Recurring Expense FormComplete this form to request automatic reimbursement from your Dependent Care Assistance Plan (DCAP) account.By submitting this form you can arrange for your DCAP contributions to be reimbursed to you automatically on a per-pay-period basis without having to submit new documentation each time. You must complete all sections … More >>

Benefits enrollment season

Are You Ready for Enrollment Season?

Are you ready for enrollment season? For many working people, benefits enrollment season is coming up very soon. Open enrollment is the period during which you review your benefit options and choose which ones you want to enroll in for next year. These include health insurance, life insurance, and tax-advantaged healthcare benefits accounts, among others. … More >>

Award-winning Employee Education and Engagement Program

Award-winning Employee Education and Engagement Program​Employer-sponsored healthcare accounts can be hard to understand. ​That’s why DataPath Administrative Services has adopted a year-round employee education and engagement program for our ​groups. ​​The Adventures of Captain Contributor, a national-award winning program, is both informative and entertaining. In a series of comic books and videos, Captain Contributor and … More >>

Forms and Materials Library for Employers

Forms and Materials Library for EmployersWelcome to the Forms and Materials Library. ​You will find a wealth of information about tax-advantaged benefit accounts, compliance questions and answers, commonly used forms, ​benefit card and system information, and more.  FSA HSA HRA COBRA Bank Draft for Administrative Fees Compliance Services ERISA: Does My Plan Need to be … More >>

Mobile App Overview

Benefits at your fingertips DataPath offers powerful and convenient apps for both the Summit and myRSC administration platforms. Viewing your account balance, submitting claims, and more on-the-go has never been easier! What you can do with the DataPath mobile app View Accounts – including detailed claim and balance information Card Activity – View transactions and … More >>

Dependent Care Recurring Expense Form

Complete this form to request automatic reimbursement from your Dependent Care Assistance Plan (DCAP) account. Contributions will be reimbursed to you on a per-pay-period basis. By completing this form you will not need to provide continuing documentation. Please complete all fields and include appropriate documentation stating your child will be attending throughout the year or … More >>

Employee Direct Deposit Authorization Form

Use this form to request that a claim reimbursement be deposited directly into your bank account. Instructions for completing this form: Fill in all fields below Attach voided check (no deposit slips) Sign and date form. If the account is not in your name alone, the other account holder must also sign and date form.

Medical Claim Form (Reimbursement or Card Substantiation)

How to Submit a Claim Form All sections of the claim form must be completed in order to receive reimbursement, including signature and date. Claim Form Section 1: Employee Information The following information must be included for each claim: Employee (Participant) Social Security Number Employee Name Employee Address Employee Phone Number Claim Form Section 2: … More >>

Captain Contributor Explains DCAPs

” A DCAP, or Dependent Care Assistance Plan, is an employer-sponsored benefit account that helps pay for the care of a qualified dependent. Each pay period, you can make a pre-tax contribution to the account. After paying for care and filing a claim, you receive reimbursement.  Learn more! Captain Contributor​​ – Benefits Super Hero Read Comic Book … More >>

Forms Library

Forms LibraryWelcome to the Forms Library.  Here you will find the most commonly used forms associated with filing claims, requesting reimbursements, and enrolling in benefits. FSA HSA HRA Authorization for Release of Information Form Debit Card Request Form (Replacement or Additional) Dependent Care Recurring Expense Form Employee Direct Deposit Authorization Form Medical Claim Form (Reimbursement … More >>

Captain Contributor – Your Benefits Super Hero

” Hello! I’m Captain Contributor.  I want to help you make the most of your employer-sponsored benefits and save money on your taxes! Captain Contributor​​ – Benefits Super HeroAn FSA, or Flexible Spending Account, is an employer-sponsored account that enables you to set aside money from each paycheck, before taxes, to help pay for IRS-approved, out-of-pocket medical … More >>

Consumer Directed Healthcare Account

Discovering the Value in Consumer Directed Healthcare Accounts

Consumer directed healthcare accounts not only help users save money due to their tax-advantaged status, but also give account holders more control over their healthcare dollars. This article and infographic provide an overview of HSAs, HRAs, and FSAs, along with other helpful information. What are Consumer Directed Healthcare Accounts? A consumer directed healthcare (CDH) account … More >>

Limited-Purpose FSA

Understanding the Limited-Purpose FSA

You’re familiar with healthcare Flexible Spending Accounts (FSAs), with which you can set aside money from your paycheck pre-tax (before payroll taxes are calculated) to use in paying eligible medical expenses. You may not be as familiar, though, with the Limited-Purpose FSA (LPFSA). An LPFSA is an option made available by some employers in conjunction … More >>

2017 Contribution Limits

2017 Contribution Limits for FSAs and HSAs

During Open Enrollment season, it’s important for individuals to know the 2017 contribution limits for Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs). Here’s a quick guide to next year’s contribution limits and other important information: Flexible Spending Account (FSA) In October 2016, the IRS released its inflation adjustments which raised the limits for … More >>