Flexible Spending Accounts


Benefits-eligible employees may choose to participate in the Flexible Spending Accounts Plan (FSAs) allowed under Section 125 of the Internal Revenue Code. Under the FSA Plan, eligible employees may redirect a portion of their paycheck each month (except July and August) to their own personal Health Care FSA and/or Dependent Care FSA. The money redirected to the FSA will never be subject to Federal, State, Social Security or Medicare taxes. As a participating employee incurs eligible out-of-pocket health or dependent care expenses, he/she simply pays the bill and submits a claim to the FSA Plan administrator (American Fidelity Assurance) for reimbursement. 

Employees selecting a Health Care FSA do have the option to receive a debit card which is linked to their Health Care FSA account. This allows an employee to pay for eligible medical expenses directly instead of paying out-of-pocket first. It is very important to keep a copy of all receipts for FSA reimbursable expenses. A reimbursable expense cannot be claimed under both an FSA and the Health Reimbursement Account (HRA) issued with the UnitedHealthcare SignatureValue Alliance HMO medical plan. Please review the following documents to determine if a Flexible Spending Account might work for you:

Understanding Your Employer's Section 125 Plans

Using Your Health FSA Debit Card 

Using a Dependent Day Care FSA

Fully Executed (FSA) Plan Document

FSA Enrollment Information:

The Health Care FSA annual maximum contribution limit for 2019 is $2,650 and the Dependent Care FSA annual maximum contribution limit for 2019 is $5,000 ($2,500 maximum if married filing separately). Please complete the 2019-FSA Election Form below and return to the Employee Benefits Department. We do not need an original. The form may be scanned and sent to employeebenefits@sandi.net, faxed to (619) 725-8132 or dropped off at our office (Ed Center - Room 1150):

2019 - FSA Election Form

How to Access your FSA Account Electronically:

To create your account or login to manage your FSA account online to file claims, view account activity and establish direct deposit of reimbursements, please click on a link below:


Accessing Your FSA Account Online/Mobile App

American Fidelity Assurance may be reached directly by calling (800) 662-1113 or by email at flex@americanfidelity.com