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.
