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<p class="MsoNormal"><img width="183" height="70" id="Picture_x0020_2" src="cid:image001.png@01DC4265.2C6AF750" 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>October 21, 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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<td width="78" valign="top" style="width:58.5pt;padding:0in 5.4pt 0in 5.4pt;height:.2in">
<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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<tr style="height:.2in">
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<p class="MsoNormal">Re: </p>
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<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><span style="font-size:11.0pt;font-family:"Arial",sans-serif">UCPath Notice: Instructions for 2025 FSA End-of-Year Enrollment</span></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>
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<p class="MsoNormal" style="mso-line-height-alt:10.35pt"><i><span style="font-family:"Arial",sans-serif;color:#222222">Newly hired employees, newly eligible employees and employees experiencing a qualifying life event with effective dates from <b>October 1,
2025, to November 30, 2025</b>, will not be able to make Flexible Spending Account (FSA) enrollment elections or updates for the current plan year through the self-service portal.<o:p></o:p></span></i></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;color:#222222">Eligible employees may still enroll in FSA or update their current elections by submitting a <b>Benefits eForm</b> corresponding to their qualifying event. Self-Service functionality
for FSA enrollment will be available again starting December 1, 2025. Any FSA enrollment submitted through self-service in December 2025 will apply to the 2026 calendar year.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;color:#222222">The Benefits of Belonging booklet which communicates enrollment instructions will be mailed to employees who become eligible for benefits during the restricted portal period.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;color:#222222">For location awareness, FSA enrollment instructions are below.<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-line-height-alt:10.25pt"><b><i><span style="font-family:"Arial",sans-serif;color:#1F467A">How to Make 2025 FSA Plan Elections/Updates using the
</span></i></b><b><i><span style="font-family:"Arial",sans-serif;color:#153D63">Benefits eForm</span></i></b><i><span style="font-family:"Arial",sans-serif;color:#222222"><o:p></o:p></span></i></p>
<p class="MsoNormal" style="mso-line-height-alt:11.2pt"><i><span style="font-family:"Arial",sans-serif;color:#222222">Employees may access the Benefits eForm through UCPath by following these steps:<o:p></o:p></span></i></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-line-height-alt:11.2pt;mso-list:l2 level1 lfo3">
<![if !supportLists]><i><span style="font-family:"Arial",sans-serif;color:#222222"><span style="mso-list:Ignore">1.<span style="font:7.0pt "Times New Roman"">
</span></span></span></i><![endif]><i><span style="font-family:"Arial",sans-serif;color:#222222">From the main menu, select <b>Benefits & Retirement</b><o:p></o:p></span></i></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-line-height-alt:11.2pt;mso-list:l2 level1 lfo3">
<![if !supportLists]><i><span style="font-family:"Arial",sans-serif;color:#222222"><span style="mso-list:Ignore">2.<span style="font:7.0pt "Times New Roman"">
</span></span></span></i><![endif]><i><span style="font-family:"Arial",sans-serif;color:#222222">Under the <b>Forms</b> category, select <b>Benefits Request eForm</b><o:p></o:p></span></i></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-line-height-alt:11.2pt;mso-list:l2 level1 lfo3">
<![if !supportLists]><i><span style="font-family:"Arial",sans-serif;color:#222222"><span style="mso-list:Ignore">3.<span style="font:7.0pt "Times New Roman"">
</span></span></span></i><![endif]><i><span style="font-family:"Arial",sans-serif;color:#222222">Click <b>Submit</b> under the Benefits eForm Hub<o:p></o:p></span></i></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-line-height-alt:11.2pt;mso-list:l2 level1 lfo3">
<![if !supportLists]><i><span style="font-family:"Arial",sans-serif;color:#222222"><span style="mso-list:Ignore">4.<span style="font:7.0pt "Times New Roman"">
</span></span></span></i><![endif]><i><span style="font-family:"Arial",sans-serif;color:#222222">Select the <b>Event Date</b> that corresponds to your benefit event<o:p></o:p></span></i></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-line-height-alt:11.2pt;mso-list:l2 level1 lfo3">
<![if !supportLists]><i><span style="font-family:"Arial",sans-serif;color:#222222"><span style="mso-list:Ignore">5.<span style="font:7.0pt "Times New Roman"">
</span></span></span></i><![endif]><i><span style="font-family:"Arial",sans-serif;color:#222222">Select the appropriate <b>Employee Benefit Category</b><o:p></o:p></span></i></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-line-height-alt:11.2pt;mso-list:l2 level1 lfo3">
<![if !supportLists]><i><span style="font-family:"Arial",sans-serif;color:#222222"><span style="mso-list:Ignore">6.<span style="font:7.0pt "Times New Roman"">
</span></span></span></i><![endif]><i><span style="font-family:"Arial",sans-serif;color:#222222">Use the <b>Reason for Request</b> drop-down menu to select the applicable request reason<o:p></o:p></span></i></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-line-height-alt:11.2pt;mso-list:l2 level1 lfo3">
<![if !supportLists]><i><span style="font-family:"Arial",sans-serif;color:#222222"><span style="mso-list:Ignore">7.<span style="font:7.0pt "Times New Roman"">
</span></span></span></i><![endif]><i><span style="font-family:"Arial",sans-serif;color:#222222">In the “Please Explain Why You Are Using This Form” textbox, type in <b>FSA Enrollment for 2025</b><o:p></o:p></span></i></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-line-height-alt:11.2pt;mso-list:l2 level1 lfo3">
<![if !supportLists]><i><span style="font-family:"Arial",sans-serif;color:#222222"><span style="mso-list:Ignore">8.<span style="font:7.0pt "Times New Roman"">
</span></span></span></i><![endif]><i><span style="font-family:"Arial",sans-serif;color:#222222">Navigate through the form to make your enrollment updates<o:p></o:p></span></i></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-line-height-alt:11.2pt;mso-list:l2 level1 lfo3">
<![if !supportLists]><i><span style="font-family:"Arial",sans-serif;color:#222222"><span style="mso-list:Ignore">9.<span style="font:7.0pt "Times New Roman"">
</span></span></span></i><![endif]><i><span style="font-family:"Arial",sans-serif;color:#222222">Review and agree to the <b>Terms and Conditions</b> and the signature acknowledgment<o:p></o:p></span></i></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:47.25pt;text-indent:-.25in;mso-line-height-alt:11.2pt;mso-list:l2 level1 lfo3">
<![if !supportLists]><i><span style="font-family:"Arial",sans-serif;color:#222222"><span style="mso-list:Ignore">10.<span style="font:7.0pt "Times New Roman"">
</span></span></span></i><![endif]><i><span style="font-family:"Arial",sans-serif;color:#222222">Once complete, click <b>Submit</b><o:p></o:p></span></i></p>
<p class="MsoNormal" style="margin-bottom:0in;mso-line-height-alt:11.2pt"><i><span style="font-family:"Arial",sans-serif;color:#222222"><o:p> </o:p></span></i></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif;color:#1F467A">Submit Enrollment Forms (PDF)</span></b><span style="font-family:"Arial",sans-serif;color:#222222"><br>
If employees are unable to access UCPath to submit a Benefits eForm, they may request a PDF version of the enrollment forms by visiting </span><span style="color:black"><a href="https://ucpath.universityofcalifornia.edu/" target="_blank"><span style="font-family:"Arial",sans-serif;color:#1F3864">UCPath</span></a></span><span style="font-family:"Arial",sans-serif;color:#222222"> or
by submitting an inquiry through <b>Ask UCPath</b>. UCPath will instruct them how to submit completed forms.<o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif;color:#153D63">UCPath Deadlines and Final 2025 FSA Deduction Dates</span></b><span style="font-family:"Arial",sans-serif;color:#222222"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-line-height-alt:10.35pt"><span style="font-family:"Arial",sans-serif;color:#222222">The table below shows the current year FSA eForm deadlines and the final 2025 paycheck dates on which UCPath will take FSA deductions:<o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black">2025 FSA eForm Submission Deadline</span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black">Last Paycheck with 2025 FSA Deductions</span></p>
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<p class="MsoNormal"><span style="color:black">Biweekly Paid Employees </span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black">12/08/2025</span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black">12/17/2025</span></p>
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<p class="MsoNormal"><span style="color:black">Monthly Paid Employees </span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black">11/18/2025</span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black">12/01/2025</span></p>
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<p class="MsoNormal" style="mso-line-height-alt:10.35pt"><span style="font-family:"Arial",sans-serif;color:#222222"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-line-height-alt:10.35pt"><b><span style="font-family:"Arial",sans-serif;color:#222222">Note:</span></b><span style="font-family:"Arial",sans-serif;color:#222222"><br>
FSA coverage is effective the first of the month following enrollment, subject to payroll deadlines. UCPath will deduct the elected FSA contribution amount across the remaining pay periods in 2025. These enrollments <b>do not roll over</b> into the next plan
year. To continue coverage, employees must make new FSA elections during Open Enrollment for the 2026 plan year.<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-line-height-alt:10.35pt"><b><span style="font-family:"Arial",sans-serif;color:#222222">Resources:</span></b><span style="font-family:"Arial",sans-serif;color:#222222"><o:p></o:p></span></p>
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<li class="MsoNormal" style="color:#222222;mso-line-height-alt:10.35pt;mso-list:l1 level1 lfo4">
<span style="color:black"><a href="https://spwebserv.ucop.edu/SelfServiceUsers/PORjobaids/EMP112-BenefitseFormsSubmitNew.pdf" target="_blank"><span style="font-family:"Arial",sans-serif">Job Aid: Benefits Request eForm</span></a></span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></li></ul>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-family:"Arial",sans-serif;color:#222222"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-family:"Arial",sans-serif;color:#222222">Should you have any questions, please contact the UCPath Center.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-family:"Arial",sans-serif;color:#222222"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-family:"Arial",sans-serif;color:#222222">UCPath<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-family:"Arial",sans-serif;color:#222222">(855) 982-7284<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="font-family:"Arial",sans-serif;color:#222222">Monday - Friday from 8:00 a.m. - 5:00 p.m.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><span style="color:black"><a href="https://ucpath.universityofcalifornia.edu/" target="_blank"><b><span style="font-family:"Arial",sans-serif">ucpath.universityofcalifornia.edu</span></b></a></span><span style="font-family:"Arial",sans-serif;color:#222222"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-line-height-alt:10.35pt"><span style="font-family:"Arial",sans-serif;color:#222222"><o:p> </o:p></span></p>
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