Why did I receive an “ineligible” or “insufficient documentation” notice, and what should I do now?

You may receive this notice if:

• Your Benefits Debit Card was used for an expense incurred outside the plan year.
• Your Benefits Debit Card was used for an ineligible expense.
• Your submitted documentation is missing information.

If the documentation cannot be provided or the expense is ineligible, you have three options:

1. Submit itemized documentation for an eligible expense that has not yet been reimbursed to offset the transaction amount.
2. Submit the notice received along with a check in the amount of the transaction to be applied to your LPFSA.
3. Pay the expense back online:
   1. Log in to your online account.
   2. Click on the Reimbursement Account button to navigate to the reimbursement account portal (which will open in a new tab).
   3. Under Balance Due, click Repay Now.
   4. Select the charge and Repay Now or Add a Receipt.
   5. Repay the Full Amount, Partial Amount, or Individual Transaction.