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IMPORTANT: If you do not elect your benefits during the annual Open Enrollment period or within 31 days of your date of hire, you will not have Roper St. Francis Healthcare health plan coverage until the next year unless you have a qualified life event as defined by the IRS.


If you can’t find an answer to your question after reviewing the information on this site, please email or call (843) 720-8400.



Flexible Spending Accounts

Flexible Spending Accounts

A Flexible Spending Account (FSA) allows you to pay for health, dental, vision, prescriptions and dependent day care expenses with pre-tax dollars, which reduces your taxable income and saves you money.

There are two different kinds of Flexible Spending Accounts:

  • Healthcare Spending Account—for healthcare expenses for you and your dependents (such as medical, dental or prescription co-pays or an eye exam)
  • Dependent Day Care Spending Account—for dependent care expenses (such as day care for a child or adult)

Each type of FSA lets you set aside money from your paycheck on a pre-tax basis to pay eligible healthcare or dependent/ elder care expenses that you expect to pay out-of-pocket during that year. Note that the Dependent Day Care Spending Account covers only expenses related to care of dependents (such as day care)—not their medical expenses.

Deciding What to Contribute

Each year you decide how much you want to contribute to either or both accounts for the calendar year. You may contribute up to $2,700 ($2,650 in 2019) per calendar year to the Healthcare Spending Account, and/or up to $5,000 per calendar year to the Dependent Day Care Spending Account (up to $2,500 if you are married and file separate tax returns).

  • You contribute to your FSA through biweekly pre-tax payroll contributions.
  • You can only change your contribution amount each year during Open Enrollment unless you have a qualifying life event change.
  • You must enroll in your FSA(s) each year.
  • New participants will receive a welcome packet and BB&T debit card.
  • Our FSA administrator is McGriff Insurance Services.
  • Your contributions are deducted from your paycheck in equal amounts during the year. Because contributions are not subject to social security tax, federal income tax and, in most cases, state and local income tax, you save money.
  • You must incur eligible expenses for the Healthcare and Dependent Day Care Spending Accounts by December 31st of the current year.
  • At that time, you forfeit unused expenses. However, Roper St. Francis Healthcare allows you to carry over up to $500 of your Healthcare Spending Account into the next plan year.
Using Your Dependent Day Care FSA

The Dependent Day Care FSA will provide reimbursement for day care, after school care or summer day camps for a child under age 13; care for a disabled child; or care for a dependent parent incapable of self-care, provided the teammate claims the parent as a tax deduction. Access to download a claim form.

Using Your FSA – Reimbursable Expenses

Some of the expenses reimbursable through the Healthcare Spending Account include the following:

Over-the-counter (OTC) drugs and medicines (other than insulin) are reimbursable from the Healthcare FSA only if prescribed by a physician. For a complete listing of covered expenses, log on to the IRS website at and refer to Publication 502 under Forms/Publications.

Submitting for Healthcare FSA Reimbursement

You can use your FSA Benefits Access Card or submit claims to McGriff Insurance Services for reimbursement for eligible Healthcare FSA expenses.

What Is an FSA Benefits Access Card? The FSA Benefits Access Card acts like a debit card that can be used to pay for healthcare expenses that are eligible for reimbursement under your Healthcare Flexible Spending Account. Note that the FSA Benefits Access Card does not have a personal identification number (PIN). Whenever you use the FSA Benefits Access Card you should choose CREDIT instead of debit. The card cannot be used at an ATM terminal, and obtaining cash back is not permitted.

How Does the FSA Benefits Access Card Work? Your FSA Benefits Access Card account balance is the amount you elected to set aside in your Healthcare Flexible Spending Account. Your account balance decreases each time you use your FSA Benefits Access Card. Debit card transactions are limited to specific merchants based on expenses deemed eligible by the IRS. The system that processes your debit transactions only receives the total amount of your purchase from merchants such as pharmacies, physicians’ offices, dentists, and vision care providers, so you must keep your receipts. You can also submit a paper claim for reimbursement.

Simple Access to Your FSA Account

You can access your FSA by using your Benefits Access Card, submitting claims online and attaching receipts, or submitting a hard copy claim form for reimbursement of eligible expenses. Because your FSA is administered by the experienced staff at McGriff Insurance Services, submitting claims and receiving reimbursement is easy and convenient:

  • Your claims are received via fax, mail or online and are promptly entered into McGriff Insurance Services’ system.
  • Emails are sent to confirm receipt and provide status updates of your claims.
  • Claim reimbursements are distributed via direct deposit or a check sent directly to your home address.

The reimbursement schedule will be provided after enrollment and will be included in your welcome packet. Benefit representatives are available Monday through Friday 8 a.m. to 6 p.m. to answer your questions. You can access account information 24 hours a day at or by calling toll-free 800-768-4873.

How Do I Access My Benefits Access Card Account?

  1. Go to
  2. Click “Log In” in the upper right hand corner.
  3. Enter your username and password.

Your initial username is your last name followed by the last four digits of your social security number. Your initial password is your five-digit home address zip code. After you log in, you may change your username and password by clicking on the Profile tab at the top of the page and following the instructions

Have a Question?

Review the information found throughout this site. If you can’t find an answer to your question, please email or call (843) 720-8400, Option 2.