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<p class="MsoNormal"><img width="183" height="70" id="Picture_x0020_2" src="cid:image001.png@01DC2B9E.3D7CABC0" alt="A blue text on a black background
AI-generated content may be incorrect."></p>
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<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><o:p> </o:p></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b>September 22, 2025<o:p></o:p></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><o:p> </o:p></b></p>
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<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">To: </p>
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<td width="680" valign="top" style="width:510.3pt;padding:0in 5.4pt 0in 5.4pt;height:.2in">
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">Department Benefits Representatives (DBRs)</p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><o:p> </o:p></p>
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<td width="78" valign="top" style="width:58.5pt;padding:0in 5.4pt 0in 5.4pt;height:.2in">
<p class="MsoNormal">From: </p>
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<td width="680" valign="top" style="width:510.3pt;padding:0in 5.4pt 0in 5.4pt;height:.2in">
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">Central HR Benefits Office on behalf of the UCPath Center</p>
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<p class="MsoNormal">Re: </p>
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<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b>Instructions for 2025 FSA Enrollment during Last Quarter of 2025</b></p>
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<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">____________________________________________________________________________________________________</p>
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<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b>DBRs, please share this information via your internal listserv.
<u>Do not reply to this email.</u> Please send a separate email with questions to
</b><a href="mailto:benefits@ucr.edu"><b>benefits@ucr.edu</b></a><b>.<o:p></o:p></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><o:p> </o:p></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b>UCPath – Self-Service FSA Elections will be unavailable from 10-01-2025 to 11-30-2025.
</b>UCPath is carefully managing year-end FSA enrollments to ensure accuracy and prevent financial challenges. Employees who are newly hired, newly eligible, or have a qualifying life event between October 1 and November 30, 2025, cannot make FSA elections
or updates for <b>2025</b> via the self-service portal. <br>
<br>
However, eligible employees may still enroll in or update their current FSA elections by submitting a Benefits eForm that corresponds to their qualifying event.</p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><o:p> </o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b>How to Make 2025 FSA Plan Elections or Updates from October 1 – November 30<o:p></o:p></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><o:p> </o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b>Accessing the Benefits eForm via UCPath</b><o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">To submit the FSA enrollment or update, employees should follow these steps:<o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><o:p> </o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;line-height:normal">
1. From the main menu, select <b>Benefits & Retirement</b><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;line-height:normal">
2. Under the <b>Forms</b> category, choose <b>Benefits Request eForm</b><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;line-height:normal">
3. Click <b>Submit</b> under the <b>Benefits eForm Hub</b><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;line-height:normal">
4. Select the <b>Event Date</b> that matches their qualifying event<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;line-height:normal">
5. Choose the appropriate <b>Employee Benefit Category</b><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;line-height:normal">
6. Use the <b>Reason for Request</b> drop-down to select the applicable reason<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;line-height:normal">
7. In the textbox labeled “Please Explain Why You Are Using This Form,” enter: </p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b> FSA Enrollment for 2025</b><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;line-height:normal">
8. Complete the form to make the enrollment updates<o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;line-height:normal">
9. Review and agree to the <b>Terms and Conditions</b> and <b>Signature Acknowledgment</b><o:p></o:p></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;line-height:normal">
10. Click <b>Submit</b> to send the form to UCPath for processing<o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><o:p> </o:p></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b>UCPath Deadlines and Final 2025 FSA Deduction Dates</b><o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">The table below outlines the current year FSA eForm deadlines and the final 2025 paycheck dates on which
</p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">FSA deductions will be taken: </p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><o:p> </o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><o:p> </o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><o:p> </o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><o:p> </o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><o:p> </o:p></p>
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<p class="MsoNormal"><span style="color:black"> </span><o:p></o:p></p>
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<p class="MsoNormal"><span style="color:black">2025 FSA eForm Submission Deadline</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="color:black">Last Paycheck with 2025 FSA Deductions</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="color:black">Biweekly Paid Employees </span><o:p></o:p></p>
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<td width="162" valign="top" style="width:121.5pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 0in 0in 0in;height:15.0pt">
<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black">11/18/2025</span><o:p></o:p></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black">12/01/2025</span><o:p></o:p></p>
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<p class="MsoNormal"><span style="color:black">Monthly Paid Employees </span><o:p></o:p></p>
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<td width="162" valign="top" style="width:121.5pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 0in 0in 0in;height:15.0pt">
<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black">12/08/2025</span><o:p></o:p></p>
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<td width="174" valign="top" style="width:130.5pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 0in 0in 0in;height:15.0pt">
<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black">12/17/2025</span><o:p></o:p></p>
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<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><o:p> </o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b>Note:</b> FSA coverage begins on the first day of the month following enrollment, subject to payroll processing deadlines. The employee’s elected FSA contribution will be distributed across
the remaining pay periods in 2025. These elections do not carry over into the next plan year. To maintain coverage, employees must submit new FSA elections during Open Enrollment for the 2026 plan year.<o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><o:p> </o:p></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b>Self-Service Availability</b><o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">Self-service functionality for FSA elections will resume on <b>December 1, 2025</b>. Any FSA enrollment submitted via self-service in December 2025 will apply to the <b>2026 calendar year</b>.<o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><o:p> </o:p></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b>Submitting Enrollment Forms (PDF)</b><o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">If employees are unable to access UCPath to submit a Benefits eForm, they may request a PDF version of the enrollment forms by visiting <a href="https://idpproxy-ucpath.universityofcalifornia.edu/simplesaml/module.php/ucpathdiscovery/disco.php?entityID=https%3A%2F%2Fucpath.universityofcalifornia.edu&return=https%3A%2F%2Fidpproxy-ucpath.universityofcalifornia.edu%2Fsimplesaml%2Fmodule.php%2Fsaml%2Fsp%2FdiscoResponse%3FAuthID%3D_d13dc7259879671071a643d1be972a10a424d11403%253Ahttps%253A%252F%252Fidpproxy-ucpath.universityofcalifornia.edu%252Fsimplesaml%252Fsaml2%252Fidp%252FSSOService.php%253Fspentityid%253Dhttps%25253A%25252F%25252Fucphrprdpub.universityofcalifornia.edu%25252Fpsp%25252Fucphrprd%2526cookieTime%253D1758328288&returnIDParam=idpentityid" target="_blank">UCPath</a> or
submitting an inquiry through <b>Ask UCPath</b>. Completed forms should be submitted according to UCPath’s instructions.</p>
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