60P-6.006. Definitions

Unless otherwise expressly stated whenever used in Chapter 60P-6, F.A.C., the following terms shall have the respective meaning indicated:

(1) “Claim Filing Deadline” is April 15 following the participant’s period of eligibility. All initial prior plan year claims filings must be postmarked or received, when not mailed, at the Department on or prior to this date to be considered for processing.

(2) “Claim filing run-out period” is the period during which the Department will accept documentation in support of claims filed within the claim filing deadline. This period will not extend beyond June 30 following the end of the prior plan year.

(3) “Dependent” means:

An individual for whom the participant is entitled to a tax deduction under the Internal Revenue Code; requires full time care because of a physical or mental incapacity; or is the spouse of the participant and is physically or mentally incapable of caring for himself or herself.

(4) “Dependent Care Expenses” means expenses incurred by a participant for the care of an eligible dependent as defined in applicable Internal Revenue Code to permit a participant and spouse, if any, to be gainfully employed.

(5) “Dependent care reimbursement account” means an account under which an employee may set aside money, on a pretax basis via salary reduction to pay for qualified daycare expenses.

(6) “Participant” means an employee who has enrolled in the Program for a period of coverage, and who has not become ineligible for participation at any time during the period of coverage.

(7) “Health care expenses” means any unreimbursed eligible expenses incurred by a participant or by a spouse or dependent of such participant for medical care.

(8) “Health care reimbursement account” means an account under which an employee may set aside money, on a pretax basis via salary reduction to pay for qualified health care expenses.

(9) “Period of coverage” means the Plan Year or that portion of the Plan Year during which coverage of benefits under the Plan is available to and elected by the participant.

(10) “Program” means the Florida Flexible Benefits Program established pursuant to Section 110.161, Florida Statutes.

(11) “Plan year” means a 12-month period beginning January 1 and ending December 31.

(12) “Salary reduction agreement” means an agreement by and between the State and the employee, in which the employee elects to participate in the Program.

(13) “Qualifying status change (QSC) event” or “QSC event” means the change in employment status, for subscriber or spouse, family status or significant change in health coverage of the employee or spouse attributable to the spouse’s employment.

Specific Authority 110.161(5) FS. Law Implemented 110.161 FS. History–New 8-3-89, Amended 4-17-91, Formerly 22FB-1.006, Amended 8-26-96, Repromulgated 4-25-02.