Flexible Spending Account Plan

ASIFlex is the vendor for both Dependent Care and Medical Flexible Spending Accounts

Flexible Spending Accounts (FSAs) offer you a way to save money on your health care and/or dependent care expenses. The money you deposit into the spending accounts is deducted from your paycheck in equal amounts throughout the year before Federal and State income and FICA taxes are withheld, and most people save at least 25% on each dollar that is set aside through the FSA program. The State of Nebraska offers you two flexible spending accounts:

Health Care FSA

ACTIVE EMPLOYEE BENEFIT

The Health Care FSA reimburses you for eligible out-of-pocket health care expenses not covered by any health, dental or vision care plan you may have. You can set aside up to $2,750 per employee for the plan year (July 1, 2022, through June 30, 2023) in your Health Care FSA. The money you elect to contribute to the Health Care FSA is deposited into an account for you.

Dependent Care FSA

ACTIVE AND TEMPORARY EMPLOYEE BENEFIT

Dependent Care Flexible Spending Accounts create a tax break for dependent care expenses (typically child care or day care expenses) that enable you to work. Learn more about our Dependent Care FSA.

*You must enroll each year to participate in the flexible spending accounts.*

 

Flexible Spending Account Plan Information

 

 

2024-2025 Flexible Spending Account Plan

Description Last Revised Format
For 2024-2025 Flexible Spending Account Plan Information, see Open Enrollment Options Guide. Online

Return to Top

 

2023-2024 Flexible Spending Account Plan

Description Last Revised Format
For 2023-2024 Flexible Spending Account Plan Information, see Open Enrollment Options Guide. Online

Return to Top

 

2022-2023 Flexible Spending Account Plan

Description Last Revised Format
For 2022-2023 Flexible Spending Account Plan Information, see Open Enrollment Options Guide. Online

Return to Top

 

Flexible Spending Account Tools

Description Last Revised Format
ASIFlex website External
Log into your ASIFlex Account External
FSA Eligible Expenses and Worksheet 07/22/2020 PDF
Medical FSA Overview 07/22/2020 PDF
Dependent Care FSA Overview 07/22/2020 PDF
ASI Flex Debit Card Application 07/22/2020 PDF
ASIFlex Claim Form External
ASIFlex Debit Card Questions and Answers External
FSA Cardless Pay 10/29/2020 PDF
OTC Overview 03/26/2021 PDF
Medical Flexible Spending Debit Card External
Mobile App Flyer 09/30/2021 PDF
Recurring Direct Pay Option 12/06/2021 PDF
ASIFlex Helpful Videos External

Return to Top

  • This site contains information on coverage available to¬†State employees who are eligible for insurance benefits.*
  • The State of Nebraska offers comprehensive insurance benefits to¬†permanent*, full-time employees. Part-time employees who work 20 or more hours are also eligible for insurance benefits.¬†Participation in the State's insurance program is voluntary. The State contributes 79% of the health insurance premium, 100% of the basic life insurance coverage, and 100% of the Employee Assistance Program cost (for participating agencies). All other insurance plans are offered to employees at a group rate.
  • Employees' contributions to the health and dental insurance plans are tax-sheltered under Internal Revenue Code 125. Anyone who participates in the health or dental insurance plans will pay their portion of the premium with before-tax dollars, which are automatically deducted from the employee's paycheck. The State also allows permanent employees to participate in two Flexible Spending Accounts, the Medical Reimbursement Account, and/or the Dependent Care Account. *
  • As a State of Nebraska employee, you will have the opportunity to select from insurance benefits listed for your specific employee-group type.