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Client Manager - 9999-9999-9999 - DOE, JOHN
Base Client Information
Client Name
TASC Id
Tax Id
Tax Filing Status
UsernameChange
HIPAA Business Associates Agreement
NAICS
RetailerChange
Special Characteristics
Change Password
Password
Confirm Password
Acquisition Information
Service Agreement(s)
FlexSystemFull Plan Administration (FP)
Contacts
Name
Email Address
Business Number
Contact Type
Smith, Jackie
jackie@yourcompany.com
800-422-4661
Client - General
Hall, Tricia
tricia.hall@tasconline.com
800-422-4661
Client - Primary and SPD Plan Administrator/Agent for Legal Service
Smith, Dennis
Client - Billing
Anderson, Tom
tom@yourcompany.com
Client - General
Relationship Association
TASC ID
Accociation Type
Active
No Entries
Legacy Client Id(s)
0001
Client Manager
Profile
Invoices
Client Cash Account
Client Carrier Information
Plan Management
Payroll Verification Report (PVR)
Enrollment Management
Participant List
Balances & Exposures
Plan Contribution Payments
Plan Finalization
Access the status of your service requests, Plan features and account activity.
Message Panel
Subject
FlexSystem FSA - tax savings with benefits card, mobile app, and more!
TASC HSA - offers tax savings and more control for employees
DirectPay - multiple plan designs to meet your HRA needs
TASC HRA Administration
COBRAToday - complete administration with accessible online features
FlexSystem Account Management
Grace PeriodTime during which you may continue to incur and submit eligible expenses against the just-ended Plan Year.
Runout PeriodBegins following the last day of the Grace Period or the last day of the Plan Year, whichever is later. During this time you may submit eligible expenses with dates of service that occurred during the Plan Year or applicable Grace Period.
Medical (Out-of-Pocket) ExpensesEligibility: 12-01-2010 - 11-30-2011Grace Period End: 02-15-2012Runout Period End: 05-15-2012
Available Funds
Annual Election
Total Contributions
Total Reimbursements
Dependent Care ExpensesEligibility: 12-01-2010 - 11-30-2011Grace Period End: 02-15-2012Runout Period End: 05-15-2012
Available Funds
Annual Election
Total Contributions
Total Reimbursements
Voluntary/Group Term Life Insurance PremiumsEligibility: 12-01-2010 - 11-30-2011Grace Period End: 02-15-2012Runout Period End: 05-15-2012
Disability Insurance PremiumsEligibility: 12-01-2010 - 11-30-2011Grace Period End: 02-15-2012Runout Period End: 05-15-2012
Grace PeriodTime during which you may continue to incur and submit eligible expenses against the just-ended Plan Year.
Runout PeriodBegins following the last day of the Grace Period or the last day of the Plan Year, whichever is later. During this time you may submit eligible expenses with dates of service that occurred during the Plan Year or applicable Grace Period.
Medical (Out-of-Pocket) ExpensesEligibility: 12-01-2012 - 11-30-2013Grace Period End: 02-15-2014Runout Period End: 05-16-2014
Available Funds
Annual Election
Total Contributions
Total Reimbursements
Dependent Care ExpensesEligibility: 12-01-2012 - 11-30-2013Grace Period End: 02-15-2014Runout Period End: 05-16-2014
Available Funds
Annual Election
Total Contributions
Total Reimbursements
Voluntary/Group Term Life Insurance PremiumsEligibility: 12-01-2012 - 11-30-2013Grace Period End: 02-15-2014Runout Period End: 05-16-2014
Disability Insurance PremiumsEligibility: 12-01-2012 - 11-30-2013Grace Period End: 02-15-2014Runout Period End: 05-16-2014
Grace PeriodTime during which you may continue to incur and submit eligible expenses against the just-ended Plan Year.
Runout PeriodBegins following the last day of the Grace Period or the last day of the Plan Year, whichever is later. During this time you may submit eligible expenses with dates of service that occurred during the Plan Year or applicable Grace Period.
Medical (Out-of-Pocket) ExpensesEligibility: 12-01-2012 - 11-30-2013Grace Period End: 02-15-2014Runout Period End: 05-16-2014
Available Funds
Annual Election
Total Contributions
Total Reimbursements
Dependent Care ExpensesEligibility: 12-01-2012 - 11-30-2013Grace Period End: 02-15-2014Runout Period End: 05-16-2014
Available Funds
Annual Election
Total Contributions
Total Reimbursements
Voluntary/Group Term Life Insurance PremiumsEligibility: 12-01-2012 - 11-30-2013Grace Period End: 02-15-2014Runout Period End: 05-16-2014
Disability Insurance PremiumsEligibility: 12-01-2012 - 11-30-2013Grace Period End: 02-15-2014Runout Period End: 05-16-2014
Reimbursement Disbursement Details
Back to List
Date
Amount
Method
Check Number
Approved Reimbursements
Request Id
Amount
Benefit
Medical (Out-of-Pocket) Expenses
Reimbursement DisbursementsListed below are disbursements for RFRs.
Date
Amount
Details
2010-11-30
$44.70Details
Claim Card
2010-12-01
- $40.00Details
Claim Card
2010-12-02
$65.00Details
Claim Card
2010-12-08
$17.92Details
Claim Card
2010-12-15
$7.16Details
Claim Card
2010-12-16
$25.00Details
Claim Card
2010-12-19
$25.00Details
Claim Card
2010-12-24
$10.00Details
Claim Card
2011-01-07
$15.79Details
Claim Card
2011-01-07
$200.00Details
Claim Card
2011-01-08
$160.00Details
Claim Card
2011-01-21
$40.00Details
Claim Card
2011-01-23
$25.00Details
Claim Card
2011-01-28
$20.00Details
Claim Card
2011-01-29
$109.62Details
Claim Card
2011-02-07
$25.00Details
Claim Card
2011-02-08
$7.62Details
Claim Card
2011-02-20
$15.81Details
Claim Card
2011-02-20
$349.99Details
Claim Card
2011-02-25
$217.45Details
Claim Card
$8068.97
Total Reimbursements
Submitted RFRsListed are RFRs submitted to TASC.
Submitted
Request Id
Requested Amt.
Benefit
VeriFlex Status
Paid Status
Received Via
2010-12-01
01720625701Details
$44.70
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2010-12-03
01722872101Details
$65.00
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2010-12-03
01722872102Details
- $40.00
Medical (Out-of-Pocket) Expenses
Not Required via CopayVeriFlex Cover Sheet
Refunded
Claim Card
2010-12-09
01730213701Details
$17.92
Medical (Out-of-Pocket) Expenses
Not Required via IIASVeriFlex Cover Sheet
Paid
Claim Card
2010-12-16
01738226301Details
$7.16
Medical (Out-of-Pocket) Expenses
Not Required via IIASVeriFlex Cover Sheet
Paid
Claim Card
2010-12-16
01738226302Details
$25.00
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2010-12-20
01741322201Details
$25.00
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2010-12-24
01747715801Details
$10.00
Medical (Out-of-Pocket) Expenses
Not Required via IIASVeriFlex Cover Sheet
Paid
Claim Card
2011-01-07
01764971201Details
$200.00
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-01-07
01764971202Details
$15.79
Medical (Out-of-Pocket) Expenses
Not Required via IIASVeriFlex Cover Sheet
Paid
Claim Card
2011-01-10
01768133801Details
$160.00
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-01-24
01788580202Details
$40.00
Medical (Out-of-Pocket) Expenses
Not Required via CopayVeriFlex Cover Sheet
Paid
Claim Card
2011-01-24
01788580201Details
$25.00
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-01-31
01799977601Details
$20.00
Medical (Out-of-Pocket) Expenses
Not Required via IIASVeriFlex Cover Sheet
Paid
Claim Card
2011-01-31
01799977602Details
$109.62
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-02-07
01809948801Details
$25.00
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-02-09
01815150001Details
$7.62
Medical (Out-of-Pocket) Expenses
Not Required via IIASVeriFlex Cover Sheet
Paid
Claim Card
2011-02-21
01832326801Details
$349.99
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-02-21
01832326802Details
$15.81
Medical (Out-of-Pocket) Expenses
Not Required via IIASVeriFlex Cover Sheet
Paid
Claim Card
2011-02-25
01840882101Details
$217.45
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-02-25
01840882102Details
$168.00
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-02-27
01841574501Details
$160.87
Medical (Out-of-Pocket) Expenses
Paid
SMS - Text
2011-02-28
01844418201Details
$117.07
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-03-04
01852506901Details
$31.99
Medical (Out-of-Pocket) Expenses
Not Required via IIASVeriFlex Cover Sheet
Paid
Claim Card
2011-03-07
01855043001Details
$105.50
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-03-14
01867399401Details
$269.25
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-03-28
01889844201Details
$500.00
Dependent Care Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Web Wizard
2011-03-29
01891355201Details
$54.65
Medical (Out-of-Pocket) Expenses
Not Required via IIASVeriFlex Cover Sheet
Paid
Claim Card
2011-03-29
01891355202Details
$573.28
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-03-30
01893437801Details
$10.00
Medical (Out-of-Pocket) Expenses
Not Required via IIASVeriFlex Cover Sheet
Paid
Claim Card
2011-04-13
01915000802Details
$193.14
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-04-13
01915000801Details
$25.00
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-04-28
01936822901Details
- $193.14
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Refunded
Claim Card
2011-04-29
01937710301Details
$800.00
Dependent Care Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Web Wizard
2011-05-17
01962873701Details
$83.00
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-05-21
01968650701Details
$50.00
Medical (Out-of-Pocket) Expenses
Paid
Web Wizard
2011-05-23
01969932701Details
$38.35
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-05-30
01979085001Details
$2.63
Medical (Out-of-Pocket) Expenses
Not Required via IIASVeriFlex Cover Sheet
Reversed
Claim Card
2011-05-30
01979085002Details
$21.79
Medical (Out-of-Pocket) Expenses
Not Required via IIASVeriFlex Cover Sheet
Paid
Claim Card
2011-06-13
01997241001Details
$1.00
Medical (Out-of-Pocket) Expenses
Paid
Web Wizard
2011-07-16
02041336701Details
$1969.10
Dependent Care Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Web Wizard
2011-08-05
02067514701Details
$18.16
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2011-08-14
02076662901Details
$384.60
Dependent Care Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Web Wizard
2011-09-20
02122219801Details
$384.60
Dependent Care Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Web Wizard
2011-10-18
02154923101Details
$500.00
Dependent Care Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Web Wizard
2011-12-17
02222963601Details
$461.70
Dependent Care Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Web Wizard
Navigation:<<12345>>
$8071.60
Total Reimbursements Requested (Grand Total)
RFR Line Item DetailsRequest Id: #02778452901
Back to List
Submitted Date
Payment Status
Amount Requested
Benefit
Date of Service (mm/dd/yyyy)
Service Type
Service Description
Provider or Service Name
Carrier
Carrier Service ID
Patient Name
Relationship
Reimbursement Disbursements
Payment Date
Reimbursed
Payment Amount
Payment Method
2012-12-19
$215.00
$235.00
MyCash
Reimbursement Disbursement Details
Back to List
Date
Amount
Method
Check Number
Approved Reimbursements
Request Id
Amount
Benefit
Medical (Out-of-Pocket) Expenses
Reimbursement DisbursementsListed below are disbursements for RFRs.
Date
Amount
Details
2011-12-05
$40.00Details
Claim Card
2011-12-13
$245.40Details
Claim Card
2012-01-06
$460.00Details
2012-01-17
$280.72Details
2012-01-20
$14.40Details
Claim Card
2012-01-27
$6.00Details
2012-01-30
$273.03Details
2012-02-01
$93.85Details
2012-02-02
$1.00Details
2012-02-09
$93.85Details
2012-02-10
$1.00Details
2012-02-13
$185.18Details
2012-03-04
$21.85Details
Claim Card
2012-03-07
$7.52Details
Claim Card
2012-03-08
$574.50Details
Claim Card
2012-03-09
$57.40Details
Claim Card
2012-03-23
$200.00Details
Claim Card
2012-03-26
$555.00Details
2012-04-13
$10.00Details
Claim Card
$8980.00
Total Reimbursements
Submitted RFRsListed are RFRs submitted to TASC.
Submitted
Request Id
Requested Amt.
Benefit
VeriFlex Status
Paid Status
Received Via
2011-12-05
02208653701Details
$40.00
Medical (Out-of-Pocket) Expenses
Not Required via CopayVeriFlex Cover Sheet
Paid
Claim Card
2011-12-13
02218457901Details
$245.40
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2012-01-05
02246367001Details
$460.00
Dependent Care Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Web Wizard
2012-01-16
02261076201Details
$282.72
Dependent Care Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Web Wizard
2012-01-20
02272837901Details
$14.40
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2012-01-23
02273431801Details
$1.00
Dependent Care Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Mobile
2012-01-23
02273431601Details
$1.00
Dependent Care Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Mobile
2012-01-23
02273432601Details
$1.00
Dependent Care Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Mobile
2012-01-23
02273431701Details
$1.00
Dependent Care Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Mobile
2012-01-27
02285334001Details
$93.85
Medical (Out-of-Pocket) Expenses
Receipts RequiredVeriFlex Cover Sheet
Paid & Declined
Mobile
Navigation:<<1234567>>
$9139.13
Total Reimbursements Requested (Grand Total)
Reimbursement Disbursement Details
Back to List
Date
Amount
Method
Check Number
Approved Reimbursements
Request Id
Amount
Benefit
Medical (Out-of-Pocket) Expenses
Reimbursement DisbursementsListed below are disbursements for RFRs.
Date
Amount
Details
2012-12-04
$25.00Details
2012-12-19
$244.20Details
Claim Card
2012-12-19
$168.55Details
Claim Card
2012-12-19
$235.00Details
2012-12-27
$20.00Details
2013-01-04
$349.96Details
Claim Card
2013-01-04
$152.00Details
Claim Card
2013-01-06
$8.00Details
Claim Card
2013-01-14
$50.00Details
Claim Card
2013-01-17
$25.00Details
Claim Card
2013-01-25
$15.00Details
Claim Card
2013-02-01
$3.46Details
Claim Card
2013-03-01
$1223.80Details
2013-03-02
$3.46Details
Claim Card
2013-03-07
$55.53Details
Claim Card
2013-03-10
$119.71Details
Claim Card
2013-04-04
$629.40Details
2013-04-21
$119.71Details
Claim Card
2013-04-21
$25.00Details
Claim Card
2013-04-24
$80.00Details
Claim Card
$6545.37
Total Reimbursements
Submitted RFRsListed are RFRs submitted to TASC.
Submitted
Request Id
Requested Amt.
Benefit
VeriFlex Status
Paid Status
Received Via
2012-12-03
02756709801Details
$25.00
Medical (Out-of-Pocket) Expenses
Paid
Mobile
2012-12-18
02778452901Details
$215.00
Medical (Out-of-Pocket) Expenses
Receipts RequiredVeriFlex Cover Sheet
Paid
Web Wizard
2012-12-18
02778452902Details
$20.00
Medical (Out-of-Pocket) Expenses
Receipts RequiredVeriFlex Cover Sheet
Paid
Web Wizard
2012-12-19
02781780202Details
$168.55
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2012-12-19
02781780201Details
$244.20
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2012-12-26
02788689301Details
$20.00
Medical (Out-of-Pocket) Expenses
Receipts RequiredVeriFlex Cover Sheet
Paid
Mobile
2013-01-04
02803298101Details
$152.00
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2013-01-07
02804121401Details
$349.96
Medical (Out-of-Pocket) Expenses
Not RequiredVeriFlex Cover Sheet
Paid
Claim Card
2013-01-07
02804121402Details
$8.00
Medical (Out-of-Pocket) Expenses
Not Required via IIASVeriFlex Cover Sheet
Paid
Claim Card
2013-01-15
02818793601Details
$50.00
Medical (Out-of-Pocket) Expenses
Not Required via CopayVeriFlex Cover Sheet
Paid
Claim Card
Navigation:<<1234>>
$6545.37
Total Reimbursements Requested (Grand Total)
Payroll Date
Benefit
Participant Contribution
Posted
2010-12-03
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2010-12-03
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2010-12-03
Disability Insurance Premiums
$0.00
Yes
2010-12-03
Dependent Care Expenses
$192.30
Yes
2010-12-17
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2010-12-17
Disability Insurance Premiums
$0.00
Yes
2010-12-17
Dependent Care Expenses
$192.30
Yes
2010-12-17
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2010-12-31
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2010-12-31
Disability Insurance Premiums
$0.00
Yes
2010-12-31
Dependent Care Expenses
$192.30
Yes
2010-12-31
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-01-14
Dependent Care Expenses
$192.30
Yes
2011-01-14
Disability Insurance Premiums
$0.00
Yes
2011-01-14
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-01-14
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-01-28
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-01-28
Disability Insurance Premiums
$0.00
Yes
2011-01-28
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-01-28
Dependent Care Expenses
$192.30
Yes
2011-02-11
Disability Insurance Premiums
$0.00
Yes
2011-02-11
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-02-11
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-02-11
Dependent Care Expenses
$192.30
Yes
2011-02-25
Dependent Care Expenses
$192.30
Yes
2011-02-25
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-02-25
Disability Insurance Premiums
$0.00
Yes
2011-02-25
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-03-11
Disability Insurance Premiums
$0.00
Yes
2011-03-11
Dependent Care Expenses
$192.30
Yes
2011-03-11
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-03-11
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-03-25
Disability Insurance Premiums
$0.00
Yes
2011-03-25
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-03-25
Dependent Care Expenses
$192.30
Yes
2011-03-25
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-04-08
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-04-08
Disability Insurance Premiums
$0.00
Yes
2011-04-08
Dependent Care Expenses
$192.30
Yes
2011-04-08
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-04-22
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-04-22
Disability Insurance Premiums
$0.00
Yes
2011-04-22
Dependent Care Expenses
$192.30
Yes
2011-04-22
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-05-06
Dependent Care Expenses
$192.30
Yes
2011-05-06
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-05-06
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-05-06
Disability Insurance Premiums
$0.00
Yes
2011-05-20
Disability Insurance Premiums
$0.00
Yes
2011-05-20
Dependent Care Expenses
$192.30
Yes
2011-05-20
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-05-20
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-06-03
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-06-03
Dependent Care Expenses
$192.30
Yes
2011-06-03
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-06-03
Disability Insurance Premiums
$0.00
Yes
2011-06-17
Dependent Care Expenses
$192.30
Yes
2011-06-17
Disability Insurance Premiums
$0.00
Yes
2011-06-17
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-06-17
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-07-01
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-07-01
Disability Insurance Premiums
$0.00
Yes
2011-07-01
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-07-01
Dependent Care Expenses
$192.30
Yes
2011-07-15
Dependent Care Expenses
$192.30
Yes
2011-07-15
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-07-15
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-07-15
Disability Insurance Premiums
$0.00
Yes
2011-07-29
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-07-29
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-07-29
Dependent Care Expenses
$192.30
Yes
2011-07-29
Disability Insurance Premiums
$0.00
Yes
2011-08-12
Dependent Care Expenses
$192.30
Yes
2011-08-12
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-08-12
Disability Insurance Premiums
$0.00
Yes
2011-08-12
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-08-26
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-08-26
Disability Insurance Premiums
$0.00
Yes
2011-08-26
Dependent Care Expenses
$192.30
Yes
2011-08-26
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-09-09
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-09-09
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-09-09
Dependent Care Expenses
$192.30
Yes
2011-09-09
Disability Insurance Premiums
$0.00
Yes
2011-09-23
Dependent Care Expenses
$192.30
Yes
2011-09-23
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-09-23
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-09-23
Disability Insurance Premiums
$0.00
Yes
2011-10-07
Dependent Care Expenses
$192.30
Yes
2011-10-07
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-10-07
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-10-07
Disability Insurance Premiums
$0.00
Yes
2011-10-21
Disability Insurance Premiums
$0.00
Yes
2011-10-21
Dependent Care Expenses
$192.30
Yes
2011-10-21
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-10-21
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-11-04
Medical (Out-of-Pocket) Expenses
$115.38
Yes
2011-11-04
Dependent Care Expenses
$192.30
Yes
2011-11-04
Disability Insurance Premiums
$0.00
Yes
2011-11-04
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-11-18
Dependent Care Expenses
$192.50
Yes
2011-11-18
Medical (Out-of-Pocket) Expenses
$115.50
Yes
2011-11-18
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-11-18
Disability Insurance Premiums
$0.00
Yes
$8000.00
Total Posted Contributions
Payroll Date
Benefit
Participant Contribution
Posted
2011-12-02
Disability Insurance Premiums
$0.00
Yes
2011-12-02
Medical (Out-of-Pocket) Expenses
$129.62
Yes
2011-12-02
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-12-02
Dependent Care Expenses
$185.18
Yes
2011-12-16
Disability Insurance Premiums
$0.00
Yes
2011-12-16
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-12-16
Dependent Care Expenses
$185.18
Yes
2011-12-16
Medical (Out-of-Pocket) Expenses
$129.62
Yes
2011-12-30
Medical (Out-of-Pocket) Expenses
$129.62
Yes
2011-12-30
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2011-12-30
Dependent Care Expenses
$185.18
Yes
2011-12-30
Disability Insurance Premiums
$0.00
Yes
2012-01-13
Dependent Care Expenses
$185.18
Yes
2012-01-13
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-01-13
Disability Insurance Premiums
$0.00
Yes
2012-01-13
Medical (Out-of-Pocket) Expenses
$129.62
Yes
2012-01-27
Medical (Out-of-Pocket) Expenses
$129.62
Yes
2012-01-27
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-01-27
Disability Insurance Premiums
$0.00
Yes
2012-01-27
Dependent Care Expenses
$185.18
Yes
2012-02-10
Medical (Out-of-Pocket) Expenses
$129.62
Yes
2012-02-10
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-02-10
Disability Insurance Premiums
$0.00
Yes
2012-02-10
Dependent Care Expenses
$185.18
Yes
2012-02-24
Medical (Out-of-Pocket) Expenses
$129.62
Yes
2012-02-24
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-02-24
Dependent Care Expenses
$185.18
Yes
2012-02-24
Disability Insurance Premiums
$0.00
Yes
2012-03-09
Dependent Care Expenses
$185.18
Yes
2012-03-09
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-03-09
Medical (Out-of-Pocket) Expenses
$129.62
Yes
2012-03-09
Disability Insurance Premiums
$0.00
Yes
2012-03-23
Disability Insurance Premiums
$0.00
Yes
2012-03-23
Dependent Care Expenses
$185.18
Yes
2012-03-23
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-03-23
Medical (Out-of-Pocket) Expenses
$129.62
Yes
2012-04-06
Dependent Care Expenses
$185.18
Yes
2012-04-06
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-04-06
Disability Insurance Premiums
$0.00
Yes
2012-04-06
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-04-20
Disability Insurance Premiums
$0.00
Yes
2012-04-20
Dependent Care Expenses
$185.18
Yes
2012-04-20
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-04-20
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-05-04
Dependent Care Expenses
$185.18
Yes
2012-05-04
Disability Insurance Premiums
$0.00
Yes
2012-05-04
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-05-04
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-05-18
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-05-18
Disability Insurance Premiums
$0.00
Yes
2012-05-18
Dependent Care Expenses
$185.18
Yes
2012-05-18
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-06-01
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-06-01
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-06-01
Disability Insurance Premiums
$0.00
Yes
2012-06-01
Dependent Care Expenses
$185.18
Yes
2012-06-15
Disability Insurance Premiums
$0.00
Yes
2012-06-15
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-06-15
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-06-15
Dependent Care Expenses
$185.18
Yes
2012-06-29
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-06-29
Dependent Care Expenses
$185.18
Yes
2012-06-29
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-06-29
Disability Insurance Premiums
$0.00
Yes
2012-07-13
Disability Insurance Premiums
$0.00
Yes
2012-07-13
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-07-13
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-07-13
Dependent Care Expenses
$185.18
Yes
2012-07-27
Disability Insurance Premiums
$0.00
Yes
2012-07-27
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-07-27
Dependent Care Expenses
$185.18
Yes
2012-07-27
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-08-10
Disability Insurance Premiums
$0.00
Yes
2012-08-10
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-08-10
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-08-10
Dependent Care Expenses
$185.18
Yes
2012-08-24
Disability Insurance Premiums
$0.00
Yes
2012-08-24
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-08-24
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-08-24
Dependent Care Expenses
$185.18
Yes
2012-09-07
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-09-07
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-09-07
Disability Insurance Premiums
$0.00
Yes
2012-09-07
Dependent Care Expenses
$185.18
Yes
2012-09-21
Dependent Care Expenses
$185.18
Yes
2012-09-21
Disability Insurance Premiums
$0.00
Yes
2012-09-21
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-09-21
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-10-05
Dependent Care Expenses
$185.18
Yes
2012-10-05
Disability Insurance Premiums
$0.00
Yes
2012-10-05
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-10-05
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-10-19
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-10-19
Dependent Care Expenses
$185.18
Yes
2012-10-19
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-10-19
Disability Insurance Premiums
$0.00
Yes
2012-11-02
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-11-02
Dependent Care Expenses
$185.18
Yes
2012-11-02
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-11-02
Disability Insurance Premiums
$0.00
Yes
2012-11-16
Dependent Care Expenses
$185.18
Yes
2012-11-16
Medical (Out-of-Pocket) Expenses
$157.41
Yes
2012-11-16
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-11-16
Disability Insurance Premiums
$0.00
Yes
2012-11-30
Dependent Care Expenses
$185.32
Yes
2012-11-30
Disability Insurance Premiums
$0.00
Yes
2012-11-30
Medical (Out-of-Pocket) Expenses
$157.45
Yes
2012-11-30
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
$9000.00
Total Posted Contributions
Payroll Date
Benefit
Participant Contribution
Posted
2012-12-14
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-12-14
Medical (Out-of-Pocket) Expenses
$211.53
Yes
2012-12-14
Disability Insurance Premiums
$0.00
Yes
2012-12-14
Dependent Care Expenses
$192.30
Yes
2012-12-28
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2012-12-28
Disability Insurance Premiums
$0.00
Yes
2012-12-28
Dependent Care Expenses
$192.30
Yes
2012-12-28
Medical (Out-of-Pocket) Expenses
$211.53
Yes
2013-01-11
Medical (Out-of-Pocket) Expenses
$230.77
Yes
2013-01-11
Disability Insurance Premiums
$0.00
Yes
2013-01-11
Dependent Care Expenses
$209.80
Yes
2013-01-11
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2013-01-25
Dependent Care Expenses
$209.80
Yes
2013-01-25
Disability Insurance Premiums
$0.00
Yes
2013-01-25
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2013-01-25
Medical (Out-of-Pocket) Expenses
$230.77
Yes
2013-02-08
Medical (Out-of-Pocket) Expenses
$230.77
Yes
2013-02-08
Disability Insurance Premiums
$0.00
Yes
2013-02-08
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2013-02-08
Dependent Care Expenses
$209.80
Yes
2013-02-22
Disability Insurance Premiums
$0.00
Yes
2013-02-22
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2013-02-22
Dependent Care Expenses
$209.80
Yes
2013-02-22
Medical (Out-of-Pocket) Expenses
$230.77
Yes
2013-03-08
Medical (Out-of-Pocket) Expenses
$230.77
Yes
2013-03-08
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2013-03-08
Dependent Care Expenses
$209.80
Yes
2013-03-08
Disability Insurance Premiums
$0.00
Yes
2013-03-22
Disability Insurance Premiums
$0.00
Yes
2013-03-22
Dependent Care Expenses
$209.80
Yes
2013-03-22
Medical (Out-of-Pocket) Expenses
$230.77
Yes
2013-03-22
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2013-04-05
Disability Insurance Premiums
$0.00
Yes
2013-04-05
Medical (Out-of-Pocket) Expenses
$230.77
Yes
2013-04-05
Dependent Care Expenses
$209.80
Yes
2013-04-05
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2013-04-19
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2013-04-19
Dependent Care Expenses
$209.80
Yes
2013-04-19
Disability Insurance Premiums
$0.00
Yes
2013-04-19
Medical (Out-of-Pocket) Expenses
$230.77
Yes
2013-05-03
Disability Insurance Premiums
$0.00
Yes
2013-05-03
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2013-05-03
Medical (Out-of-Pocket) Expenses
$230.77
Yes
2013-05-03
Dependent Care Expenses
$209.80
Yes
2013-05-17
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2013-05-17
Disability Insurance Premiums
$0.00
Yes
2013-05-17
Dependent Care Expenses
$209.80
Yes
2013-05-17
Medical (Out-of-Pocket) Expenses
$230.77
Yes
2013-06-14
Disability Insurance Premiums
$0.00
Yes
2013-06-14
Dependent Care Expenses
$209.80
Yes
2013-06-14
Medical (Out-of-Pocket) Expenses
$230.77
Yes
2013-06-14
Voluntary/Group Term Life Insurance Premiums
$0.00
Yes
2013-06-28
Disability Insurance Premiums
$0.00
No
2013-06-28
Voluntary/Group Term Life Insurance Premiums
$0.00
No
2013-06-28
Medical (Out-of-Pocket) Expenses
$230.77
No
2013-06-28
Dependent Care Expenses
$209.80
No
2013-07-12
Voluntary/Group Term Life Insurance Premiums
$0.00
No
2013-07-12
Medical (Out-of-Pocket) Expenses
$230.77
No
2013-07-12
Disability Insurance Premiums
$0.00
No
2013-07-12
Dependent Care Expenses
$209.80
No
2013-07-26
Disability Insurance Premiums
$0.00
No
2013-07-26
Voluntary/Group Term Life Insurance Premiums
$0.00
No
2013-07-26
Dependent Care Expenses
$209.80
No
2013-07-26
Medical (Out-of-Pocket) Expenses
$230.77
No
2013-08-09
Dependent Care Expenses
$209.80
No
2013-08-09
Voluntary/Group Term Life Insurance Premiums
$0.00
No
2013-08-09
Medical (Out-of-Pocket) Expenses
$230.77
No
2013-08-09
Disability Insurance Premiums
$0.00
No
2013-08-23
Voluntary/Group Term Life Insurance Premiums
$0.00
No
2013-08-23
Dependent Care Expenses
$209.80
No
2013-08-23
Disability Insurance Premiums
$0.00
No
2013-08-23
Medical (Out-of-Pocket) Expenses
$230.77
No
2013-09-06
Dependent Care Expenses
$209.80
No
2013-09-06
Disability Insurance Premiums
$0.00
No
2013-09-06
Voluntary/Group Term Life Insurance Premiums
$0.00
No
2013-09-06
Medical (Out-of-Pocket) Expenses
$230.77
No
2013-09-20
Dependent Care Expenses
$209.80
No
2013-09-20
Voluntary/Group Term Life Insurance Premiums
$0.00
No
2013-09-20
Medical (Out-of-Pocket) Expenses
$230.77
No
2013-09-20
Disability Insurance Premiums
$0.00
No
2013-10-04
Voluntary/Group Term Life Insurance Premiums
$0.00
No
2013-10-04
Dependent Care Expenses
$209.80
No
2013-10-04
Disability Insurance Premiums
$0.00
No
2013-10-04
Medical (Out-of-Pocket) Expenses
$230.77
No
2013-10-18
Dependent Care Expenses
$209.80
No
2013-10-18
Voluntary/Group Term Life Insurance Premiums
$0.00
No
2013-10-18
Medical (Out-of-Pocket) Expenses
$230.77
No
2013-10-18
Disability Insurance Premiums
$0.00
No
2013-11-01
Dependent Care Expenses
$209.80
No
2013-11-01
Voluntary/Group Term Life Insurance Premiums
$0.00
No
2013-11-01
Medical (Out-of-Pocket) Expenses
$230.77
No
2013-11-01
Disability Insurance Premiums
$0.00
No
2013-11-15
Voluntary/Group Term Life Insurance Premiums
$0.00
No
2013-11-15
Dependent Care Expenses
$209.60
No
2013-11-15
Medical (Out-of-Pocket) Expenses
$230.77
No
2013-11-15
Disability Insurance Premiums
$0.00
No
$5653.93
Total Posted Contributions
Special ContributionsThis area shows Special Reimbursements and Contributions processed to your account. If you have questions please contact customer service.
Date Added
Added By
Benefit
Participant Contribution
Reason
2012-07-23
0000-0000-0004
Medical (Out-of-Pocket) Expenses
- $3000.00
Plan Finalization
2012-07-23
0000-0000-0004
Dependent Care Expenses
- $5000.00
Plan Finalization
Special ReimbursementsThis area shows Special Reimbursements and Contributions processed to your account. If you have questions please contact customer service.
Date Added
Added By
Benefit
Amount
Reason
2010-12-03
0000-0000-0004
Medical (Out-of-Pocket) Expenses
- $49.81
System Grace Period Adjustment - CCA to Plan
2011-06-01
4500-7939-1277
Medical (Out-of-Pocket) Expenses
- $19.16
TASC Card Benefit Transfer - MyCash to MyBenefitsDetails
2012-07-23
0000-0000-0004
Medical (Out-of-Pocket) Expenses
- $3000.00
Plan Finalization
2012-07-23
0000-0000-0004
Dependent Care Expenses
- $5000.00
Plan Finalization
Special ContributionsThis area shows Special Reimbursements and Contributions processed to your account. If you have questions please contact customer service.
Date Added
Added By
Benefit
Participant Contribution
Reason
No Entries
Special ReimbursementsThis area shows Special Reimbursements and Contributions processed to your account. If you have questions please contact customer service.
Date Added
Added By
Benefit
Amount
Reason
2012-08-29
4700-4430-1116
Dependent Care Expenses
$10.00
Claim Card Fee
2012-08-29
4700-4430-1116
Dependent Care Expenses
$10.00
Claim Card Fee
Special ContributionsThis area shows Special Reimbursements and Contributions processed to your account. If you have questions please contact customer service.
Date Added
Added By
Benefit
Participant Contribution
Reason
No Entries
Special ReimbursementsThis area shows Special Reimbursements and Contributions processed to your account. If you have questions please contact customer service.
Date Added
Added By
Benefit
Amount
Reason
No Entries
FlexSystem Participant Reenrollment
No FlexSystem Plan Found to Enroll.There are no FlexSystem plans available to enroll at this time. If you have questions regarding this, please contact your employer.
Base Client Information
Client Name
TASC Id
Tax Id
Tax Filing Status
UsernameChange
HIPAA Business Associates Agreement
NAICS
RetailerChange
Special Characteristics
Change Password
Password
Confirm Password
Acquisition Information
Service Agreement(s)
FlexSystemFull Plan Administration (FP)
Contacts
Name
Email Address
Business Number
Contact Type
Anderson, Jackie
jackiea@tasconline.com
800-422-4661
Client - General
Hall, Tricia
tricia.hall@tasconline.com
800-422-4661
Client - Primary and SPD Plan Administrator/Agent for Legal Service
Hall, Tricia
Client - Billing
Rashke, Dan
danr@tasconline.com
Client - General
Relationship Association
TASC ID
Accociation Type
Active
No Entries
Legacy Client Id(s)
0001
Client Invoices
Below are the invoices for the selected Legacy Client Id.
Invoice
Bill Date
Bill Amount
Balance
Payment
3200075454DownloadDetails
03/22/2012
0.00
0.00
3200027270DownloadDetails
12/02/2011
0.00
0.00
3100145674DownloadDetails
09/12/2011
400.00
0.00
3100129857DownloadDetails
08/08/2011
0.00
0.00
4500013195DownloadDetails
02/11/2011
3076.40
0.00
3100059412DownloadDetails
01/28/2011
0.00
0.00
4500012897DownloadDetails
01/26/2011
2018.25
0.00
4500012896DownloadDetails
01/26/2011
1677.08
0.00
4500012352DownloadDetails
12/17/2010
184.62
0.00
4500011367DownloadDetails
11/08/2010
330.95
0.00
4500010729DownloadDetails
10/20/2010
416.75
0.00
4500010728DownloadDetails
10/20/2010
54.08
0.00
4500010297DownloadDetails
10/06/2010
79.75
0.00
4500009827DownloadDetails
09/22/2010
81.45
0.00
4500009486DownloadDetails
09/13/2010
149.34
0.00
4500009314DownloadDetails
09/08/2010
162.56
0.00
4500008370DownloadDetails
08/11/2010
426.26
0.00
4500007861DownloadDetails
07/28/2010
415.45
0.00
4500007612DownloadDetails
07/22/2010
563.84
0.00
4500006597DownloadDetails
07/11/2010
184.64
0.00
3000108933DownloadDetails
06/07/2010
0.00
0.00
4500005145DownloadDetails
05/24/2010
1447.40
0.00
4500005039DownloadDetails
05/19/2010
401.01
0.00
4500004645DownloadDetails
05/05/2010
272.97
0.00
4500003964DownloadDetails
04/07/2010
420.87
0.00
4500003871DownloadDetails
04/02/2010
809.93
0.00
4500003701DownloadDetails
03/26/2010
354.19
0.00
4500003189DownloadDetails
02/28/2010
630.07
0.00
Client Cash Account
Account
Date Posted
Description
Amount
Balance
Ref Number
Plan Id
2013-09-19
PVR Allocation via CCA to Plan TransferDetails
- $34722.06
$0.00
0000114331
2013-09-19
Funds Received via ACH DebitDetails
$35039.66
$34722.06
2013-09-19
Special Contribution via CCA to Plan TransferDetails
- $136.34
- $317.60
0000114331
2013-09-19
Special Contribution via CCA to Plan TransferDetails
- $181.26
- $181.26
0000114331
2013-09-05
PVR Allocation via CCA to Plan TransferDetails
- $35347.79
$0.00
0000114331
2013-09-05
Funds Received via ACH DebitDetails
$36155.41
$35347.79
2013-09-05
Special Contribution via CCA to Plan TransferDetails
- $545.44
- $807.62
0000114331
2013-09-05
Special Contribution via CCA to Plan TransferDetails
- $125.86
- $262.18
0000114331
2013-09-05
Special Contribution via CCA to Plan TransferDetails
- $136.32
- $136.32
0000114331
2013-08-22
PVR Allocation via CCA to Plan TransferDetails
- $34317.64
$0.00
0000114331
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Client Carrier Information
Carrier Name
Group ID
Status of Carrier
Plan Year
Last Confirmed
Blue Cross Blue Shield of ALEdit Carrier
INACTIVE
DEC 12 - JAN 13
06-27-2012
Group Health CooperativeEdit Carrier
ACTIVE
AUG 01 - JUL 31
07-16-2012
FlexSystem Plan Management
Return to Plan Summary
NameEnter a name or short description of the plan.
Employee Retirement Income Security Act (ERISA)Deselect the ERISA plan option, if plan is not an ERISA plan.
ERISA Plan
AdministratorSelect the administrator of the plan.
Administrator
Bill To ContactSelect the billing contact of the plan.
Bill To Contact
Associated Company SegmentSelect the company segment associated with this plan. If this field is populated, logins associated with the same company segment will receive communications for this plan
Associated Company Segment
Plan DatesSelect the dates on which the plan should begin and end.
Plan Start (mm/dd/yyyy)
Plan End (mm/dd/yyyy)
Payroll DatesSpecify the number of payrolls within the plan period, then select the specific dates on the calendar. The total number of payrolls selected must equal the number specified in the payroll count field.
Payroll Count
Remaining Payrolls:
October - 2009
S M T W T F S
1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30 31
November - 2009
S M T W T F S
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30
December - 2009
S M T W T F S
1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30 31
January - 2010
S M T W T F S
1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23
24 25 26 27 28 29 30
31
February - 2010
S M T W T F S
1 2 3 4 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25 26 27
28
March - 2010
S M T W T F S
1 2 3 4 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25 26 27
28 29 30 31
April - 2010
S M T W T F S
1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30
May - 2010
S M T W T F S
1
2 3 4 5 6 7 8
9 10 11 12 13 14 15
16 17 18 19 20 21 22
23 24 25 26 27 28 29
30 31
June - 2010
S M T W T F S
1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30
July - 2010
S M T W T F S
1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30 31
August - 2010
S M T W T F S
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30 31
September - 2010
S M T W T F S
1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30
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Eligibility RequirementsAdd, edit, or remove eligilibility requirements.
Include participation in the Health Insurance Plan
Type
Description
SeasonalRemove
ProbationRemove