Flex spending for dependent care and medical expenses lets you set aside part of your pay check before taxes. Sign up by December each year for the following calendar year.
Nova Healthcare Administrators administers the flexible spending accounts for the Authority.
The current maximum contribution for unreimbursed medical expenses is $2,850 with a $550 carryover limit. For dependent care the maximum contribution is $5,000.
List of eligible expenses & Claim Form
Member Resources and Dependent Care Claim Form
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Human Resources
- 2022 Holiday Schedule
- 2022 SBC NFT Metro 003 POS 298
- 2022 SBC NFTA 003 POS 298
- 2022 SBC NFTA 0T02 PPO 6398
- BCI HRA Debit Authorization Form
- Blue Cross Blue Shield Claim
- Blue Cross Blue Shield Enrollment
- Change of Address Form (fillable)
- Children's Health Insurance Program (CHIP)
- Creditable Coverage Notice 2022
- Dental Claim Form
- Dependent Care Claim Form
- EAP Free Consultation Services
- EAP Summary of Benefits
- Emergency Contact/Data Information (fillable)
- Employee Certification Form
- Employee Referral Program
- Executive Order No. 161 Ensuring Pay Equity By State Employees
- EyeMed Enrollment Form
- Family Member Certification Form
- FSA Nova General Claim Form
- GHI Dental Participating Provider Search
- GHI Enrollment
- HRA Enrollment
- HRA Fillable Claim Form
- Mandatory COVID Policy NFTA 12-17-2021
- MaskExecOrder
- Metro Vaccination Policy 12-17-2021
- NFTA Employment Application
- NFTA Family and Medical Leaves of Absence Request Form
- NFTA Policy - Family and Medical Leaves of Absence
- Notice of Creditable Coverage for Medicare Part D
- Notice of Grandfathered Status
- Notice of Special Enrollment Rights
- SBC Uniform Glossary
- Women’s Health and Cancer Rights Act