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<p class="MsoNormal">Hi,<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Please see the email below.<o:p></o:p></p>
<p class="MsoNormal">Sherice<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
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<p class="MsoNormal"><b><span style="mso-ligatures:none">From:</span></b><span style="mso-ligatures:none"> UCRDBR <ucrdbr-bounces@lists.ucr.edu>
<b>On Behalf Of </b>Departmental Benefits Representatives<br>
<b>Sent:</b> Friday, September 29, 2023 12:19 PM<br>
<b>To:</b> ucrdbr@lists.ucr.edu<br>
<b>Subject:</b> [UCRDBR] UCPath - FSA Enrollment Process Change as of 10-01-2023<o:p></o:p></span></p>
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</div>
<p class="MsoNormal"><o:p> </o:p></p>
<h1><img width="192" height="73" style="width:2.0in;height:.7604in" id="Picture_x0020_1" src="cid:image001.png@01D9F2CF.13445E20"><o:p></o:p></h1>
<p class="MsoNormal"> <o:p></o:p></p>
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" style="border-collapse:collapse">
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<td width="624" colspan="2" valign="top" style="width:6.5in;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">September 29, 2023<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"> <o:p></o:p></span></p>
</td>
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<td width="66" valign="top" style="width:49.5pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">To:<o:p></o:p></span></p>
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<td width="558" valign="top" style="width:418.5pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Department Benefit Representatives<o:p></o:p></span></p>
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<td width="66" valign="top" style="width:49.5pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">From:<o:p></o:p></span></p>
</td>
<td width="558" valign="top" style="width:418.5pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<span style="font-family:"Arial",sans-serif">Central HR Benefits Office on behalf of UC Office of the President<o:p></o:p></span></p>
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<span style="font-family:"Arial",sans-serif">Re:<o:p></o:p></span></p>
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<td width="558" valign="top" style="width:418.5pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="mso-margin-top-alt:6.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:-.7pt;text-align:justify;line-height:110%">
<b><span style="font-family:"Arial",sans-serif">UCPath - <u>FSA Enrollment Process Change as of 10-01-2023</u></span></b><b><span style="font-size:10.5pt;line-height:110%;font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
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<p class="MsoNormal"><span style="font-size:3.0pt"><o:p> </o:p></span></p>
</div>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif">DBRs please distribute this important information to your internal list serv.<o:p></o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">To reduce the number of adjustments/corrections processed at the end of the year due to employees enrolling in FSA for 2023 and expecting the election to be effective in 2024, Self-Service Enrollments
for FSA will be turned off from October 1 – December 31, 2023. All other benefit plans continue to be available through Self-Service.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Newly hired and newly benefit-eligible employees, and those experiencing a qualifying life event, with effective dates from October 1 to December 31, 2023, will not be able to make Flexible Spending
Accounts (FSAs) enrollment elections or updates for the current plan year through the self-service portal. To enroll in FSA for the
<b>2023</b> Calendar Year, an eForm or PDF form must be submitted. <o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><b><u><span style="font-family:"Arial",sans-serif">Note</span></u></b><span style="font-family:"Arial",sans-serif">:
</span><span style="font-family:"Arial",sans-serif;mso-ligatures:none">FSA coverage is effective the first of the month following enrollment, subject to payroll deadlines.
<b>It is important to note that FSA contribution amount elections for new hire, newly-eligible or life event PIEs during this time will be deducted within the remaining pay periods of 2023.</b> These enrollments do not rollover to the following plan year; therefore,
<b>to continue coverage an employee will need to make Open Enrollment elections for FSA for the 2024 plan year.</b> </span><span style="mso-ligatures:none"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><u><span style="font-family:"Arial",sans-serif">How to make 2023 FSA plan elections/updates after 10/01/2023</span></u></b><span style="font-family:"Arial",sans-serif"><br>
<br>
<b><u>1) Benefits eForm</u></b><o:p></o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="font-family:"Arial",sans-serif">You can access the eForm through the UCPath system at
<a href="http://ucpath.universityofcalifornia.edu">http://ucpath.universityofcalifornia.edu</a> by following the steps below:<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="font-family:"Arial",sans-serif">Select the
<b>Forms Library</b> on the menu to the left of UCPath Dashboard<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="font-family:"Arial",sans-serif">Select
<b>Access Forms</b>. You will be automatically redirected to the Forms Library page.<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="font-family:"Arial",sans-serif">Under the corresponding Benefit category section, click on
<b>Benefits eForms: Submit New Form</b><o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="font-family:"Arial",sans-serif">Elect your employment category under the
<b>Employee Benefit Category</b> section.<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="font-family:"Arial",sans-serif">Click the
<b>Reason for Request</b> drop-down menu and choose the corresponding request reason.<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="font-family:"Arial",sans-serif">In the section titled “Please Explain Why You Are Using This Form” enter the following:<b><i> 2023 Flexible Spending Account Enrollment – Health FSA or DepCare
FSA</i></b><o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="font-family:"Arial",sans-serif">Navigate through the form to add new dependent(s) and make your enrollment updates.
<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="font-family:"Arial",sans-serif">Agree to the Terms and Conditions and the signature acknowledgement.
<o:p></o:p></span></li><li class="MsoNormal" style="mso-list:l1 level1 lfo3"><span style="font-family:"Arial",sans-serif">Once you are ready for UCPath to process your form,
<b>click the Submit button.</b><o:p></o:p></span></li></ul>
<p class="MsoNormal"><b><u><o:p><span style="text-decoration:none"> </span></o:p></u></b></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif">OR<o:p></o:p></span></b></p>
<p class="MsoNormal"><b><u><span style="font-family:"Arial",sans-serif"><o:p><span style="text-decoration:none"> </span></o:p></span></u></b></p>
<p class="MsoNormal"><b><u><span style="font-family:"Arial",sans-serif">2) Submit PDF Enrollment Form</span></u></b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.5pt;text-autospace:none"><span style="font-family:"Arial",sans-serif;mso-ligatures:none">If you are unable to access UCPath Online to submit a Benefits eForm, you can request the PDF version of the corresponding enrollment
forms by visiting <a href="http://ucpath.universityofcalifornia.edu/"><b><span style="color:#0070C0;letter-spacing:.1pt">UCPath</span></b><span style="color:#D26900;letter-spacing:.1pt">
</span></a>(ucpath.universityofcalifornia.edu) and clicking on <span style="letter-spacing:.1pt">
“<b>Ask UCPath</b>” </span>to submit an inquiry. <br>
<br>
An FSA 2023 End-of-Year Enrollment inquiry should include the following details:<br>
<br>
Topic: Benefits<br>
Category: <b>Submit Form</b> (select either <b>Newly Eligible</b> or <b>Life Event</b>)<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;mso-ligatures:none">Subject:
<b>2023 Flexible Spending Account Enrollment – (Health FSA or DepCare FSA</b>)</span><span style="font-size:9.0pt"><o:p></o:p></span></p>
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