Flexible Spending Flexible Spending Claim Filing Process Claim Filing Process

How to get reimbursed for your How to get reimbursed for your Health or Dependent Care Health or Dependent Care

expensesexpenses

Enrollment Enrollment Decide on your plan year election and Decide on your plan year election and

enroll in the program enroll in the program

Money will be deducted from your Money will be deducted from your paycheck on a pre-tax basis in equal paycheck on a pre-tax basis in equal increments every pay period and placed increments every pay period and placed into your Reimbursement Account where into your Reimbursement Account where your pre-tax money will accumulate until your pre-tax money will accumulate until you file a claim for reimbursement. you file a claim for reimbursement.

Register on our Register on our Website Website Once you are enroll in the program, TLC Once you are enroll in the program, TLC

will send you a confirmation letter with will send you a confirmation letter with website instructions to your home addresswebsite instructions to your home address

Please take a moment to register on our Please take a moment to register on our website, www.myrsc.com. The website is website, www.myrsc.com. The website is where you will be able to obtain a Claim where you will be able to obtain a Claim Form, fill out an Online Claim Entry or view Form, fill out an Online Claim Entry or view your account balance and payments madeyour account balance and payments made

File a Claim for File a Claim for ReimbursementReimbursement

Once you have incurred an expense, you Once you have incurred an expense, you are eligible to file a claim for are eligible to file a claim for reimbursement The expenses must be reimbursement The expenses must be incurred while you are a participant in the incurred while you are a participant in the planplan

Log-in to Log-in to www.myrsc.comwww.myrsc.com. Print a claim . Print a claim form under your documents folder or use form under your documents folder or use our online claims entry service our online claims entry service (documentation of expenses still required)(documentation of expenses still required)

Online Claims Entry Online Claims Entry ServiceService

Submit DocumentationSubmit Documentation

Once you have completed a Claim Once you have completed a Claim Form or created one using the Online Form or created one using the Online Claims Entry Service, please print the Claims Entry Service, please print the Claim Form, sign and fax, mail or email Claim Form, sign and fax, mail or email the form with your supporting the form with your supporting documentation to TLC Administratorsdocumentation to TLC Administrators

TLC will verify the expenses are eligible TLC will verify the expenses are eligible and process your reimbursement and process your reimbursement

Reimbursement Reimbursement

Reimbursements are processed each Reimbursements are processed each pay period following the submission of pay period following the submission of a claim a claim

We highly encourage you fill out and We highly encourage you fill out and return a Direct Deposit form to TLC return a Direct Deposit form to TLC Administrators so that we can directly Administrators so that we can directly deposit the funds into your bank deposit the funds into your bank accountaccount

Customer Service Customer Service Contact Information Contact Information For general information or to view your For general information or to view your

account balance and payments made, account balance and payments made, feel free to log-in to our website at any feel free to log-in to our website at any time. Please contact us for website time. Please contact us for website instructions, questions or concernsinstructions, questions or concerns

Flexible Spending Department Flexible Spending Department (800) 533-0113 x 606(800) 533-0113 x 606Flex@lipman.comFlex@lipman.com

Reimbursement Flow Reimbursement Flow ChartChart

Blue = Action Required for ParticipantBlue = Action Required for Participant Yellow = Action Required for TLC AdministratorsYellow = Action Required for TLC Administrators

Participant Enrolls in Program

TLC Sends Welcome

Letter

Participant Registers on

Website

Participant Incurs

Expense

Participant Logsinto Website toObtain Direct Deposit and Claim Form

TLC VerifiesEligibility and

Processes Reimbursement

ParticipantReturns

Direct DepositForm

Participant SendsClaim Form withDocumentation

to TLC