University Human Resources
How to Submit a TSB Claim
The TSB – Dependent Care Flex account is a reimbursement account that allows for the reimbursement of eligible expenses for day/evening care for dependents to allow the employee and/or spouse to work during the plan year. The TSB debit/VISA card is NOT available for use in this plan. All expenses must be paid by the employee and a claim for reimbursement must be submitted to Nyhart along with substantiation of that expense. Reimbursements will only be made once the service has been fully incurred, even when the daycare provider requires payment in advance. For example: the daycare provider requires payment before January 1 for services rendered during the month of January. According to the IRS, reimbursement cannot be provided from your TSB account until after all services have been rendered (incurred), so reimbursement would be available after January 31st.
The TSB – Health Care Flex account is a reimbursement account that allows for reimbursement of eligible medical, dental, and vision expenses. Participants may use the TSB debit/VISA card for point-of-service expenses, however, there will likely be times when expenses are paid by personal check, cash or directly from a personal account. When this occurs, a claim must be submitted to Nyhart in order to receive a reimbursement from the account. Each expense claim must be accompanied by substantiation of that expense.
To allow Nyhart to send all claim reimbursements directly to a bank account through an electronic funds transfer, complete the Direct Deposit Authorization form (PDF). Otherwise, all reimbursements will be issued by check and mailed to the employee’s mailing address.
When to Submit Claims
For the TSB - Dependent Care account, claims can be incurred from the date of your reduction agreement (enrollment) through December 31 of that plan year. All claims must be submitted by April 15th following the end of that plan year. Any unused funds will be forfeited under IRS regulations.
For the TSB – Health Care account, claims can be incurred from the date of your reduction agreement (enrollment) through the grace period of January and February following the end of the plan year (*see Coordinating Claims with an HSA). All claims must be submitted by April 15th following the end of that plan year. Any unused funds will be forfeited under IRS regulations.
Coordinating Claims with an HSA
According to IRS regulations, if the employee elects to participate in the HDHP & HSA plans as well as the TSB Health Care Flex Plan during the same plan year, the TSB account will be established as a “limited” account and can only be used for dental and vision expenses and post-deductible medical expenses. Once the deductible has been met in the HDHP plan, the employee will need to notify and provide documentation to Nyhart of the deductible being met in order for Nyhart to allow medical claims to be reimbursed. Once substantiated, the employee can submit medical reimbursement claims for expenses incurred during the remainder of the plan year. However, if the TSB account was established as a “limited” account, the TSB debit/VISA card cannot be used for medical expenses. The card can continue to be used only for dental and vision. All medical claims will need to be submitted by email, fax, mail or online.
If there is an overlap between the HSA and TSB Health Care accounts during the grace period of January and February, (whether or not the HDHP deductible had been met), the TSB account will be considered a “limited” account and can only continue to incur dental and vision expenses through the grace period. All medical expense claims would need to be submitted to Nyhart by December 31st. Dental and Vision claims would need to be submitted to Nyhart by April 15th.
Submitting Claims by Email, Mail or Fax
Collect the receipts for expenses that were paid for out-of-pocket and print the TSB Claim Form. Complete the form by providing Name, Employee ID, Address, Dependent Information (if the expense is for them), the Type of Expense, Date Incurred and the Amount. Multiple expenses can be listed on one claim form.
Send the TSB Claim Form and the supporting documents to Nyhart by:
- Fax: (888) 887-9961
- Mail: The Nyhart Company, Inc.
Attention: Flex Claim Reimbursement
8415 Allison Pointe Boulevard, Suite 300
Indianapolis, IN 46250
Please do not send the same claim by multiple methods.
Submitting Claims Online
To submit claim information online, go to iutsb.nyhart.com. Login and select: ‘Submit Claim’. In order to substantiate claims online it is necessary to have a digital file of the supporting documentation to attach to each expense item.
Please note that the online claim submission process is not for debit card substantiations. Additionally, please do not send the same claim by multiple methods.
Supporting Documentation for Expense Claims
For each expense in a claim for reimbursement a supporting document must be included. Supporting Documents (claim substantiation) can be in the form of:
- A copy of a receipt for service or purchase
- A copy of a confirmed online bill payment
- A copy of health claim summaries (EOB) from an insurer
Each supporting document must include the following:
- Name of provider
- Date of service/purchase
- Type of service/purchase
- Charge (Amount) for each service/purchase
Be sure to retain a copy of the Claim and the supporting documentation.
- TSB Claim Form (PDF)
If you have questions about allowable expenses or making a claim, contact The Nyhart Company Claim Center at 800-284-8412.