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IRS Official Says Health FSA Substantiation Is a Must

August 18, 2003

Employees seeking reimbursement of medical expenses through a health flexible spending account (FSA) must follow acceptable means of substantiating that the expenses are legitimate, a key IRS official said Aug. 15 at a flexible benefits symposium in Chicago.

Harry Beker, Chief of the Health and Welfare Branch in the Office of Associate Chief Counsel, explained that the only acceptable means of substantiation are either a statement from an independent third party stating that the expense has been incurred (for paper transactions), or by using the procedures for paying by debit or credit card under Revenue Ruling 2003-43. Under either form of processing, the participant cannot rely solely on his or her own word that the medical expense was incurred.

In addition, Beker said, the debit or credit card should be swiped each time an expense is incurred, even if, for example, all family members have the same co-pay or more than one family member is going to the doctor at the same time.

Beker spoke at the 16th annual cafeteria plan symposium of the Employers Council on Flexible Compensation (ECFC).The conference will be covered in greater detail in the next supplement to the Flex Plan Handbook. For more information on the Handbook, see http://www.thompson.com/libraries/benefits/flex/index.html.

For information on books, audio conferences and our weekly ezine, go to: http://www.thompson.com/libraries/benefits/index.html

Please visit our new Web site, BENEFITSGUIDES.COM, for information, guidance, helpful forms, model documents and links to valuable resources on adoption assistance plans, business travel, childcare and more. Go to: http://www.benefitsguides.com

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