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What is an Automatic Transfer of Claims for FSA?

Automatic Transfer feature now available for Flexible Spending Accounts (FSA)

Effective January 1, 2007, you will have the option to enroll in an automatic transfer of your medical and dental claims. 

What does this mean for you?

By selecting "yes" to the automatic transfer feature through employee self-service, you authorize Yale to allow both the medical and dental carriers to submit your copay, deductible, coinsurance and prescription information directly to ADP for reimbursement from your medical/dental reimbursement flexible spending account.  You will not need to submit claims directly to ADP and your reimbursements can be direct deposited to the bank account of your choice.

Things to consider when choosing this option:

  • You can opt in or out of this feature at any time during the calendar year.
  • Spousal and dependent claims information will also be transmitted each month. However, if you have a dependent child between the ages of 19 and 25 enrolled in the Yale Health Plan, claims will not be transmitted automatically and you will need to file claims directly with ADP.
  • Over the counter (OTC) medications, vision expenses must be submitted to ADP directly.
  • Do not submit claims for out-of-network medical expenses directly to ADP. These types of expenses
    will be sent to ADP via the automatic transfer (if chosen).
  • Your spouse or adult child can opt out of this feature by notifying the Benefits Office. Please allow 2-4 weeks for your request to be procesed by the vendors. Auto Transfer Opt In Out Form.
  • This feature is not available if you are covering a civil union partner under your health insurance or if you are enrolled in a Health Savings Account (HSA) as part of a high deductible health insurance plan.
  • Reimbursements can be delayed up to 60 days due to the timing of when the provider submits the claim to the carrier.
  • Do not select this feature if you also have a health savings account to be used for 2007 deductible expenses as part of your high deductible health insurance plan.