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FY23 Flexible Spending Medical Reimbursement

If you have a balance in your Flexible Spending Account for last fiscal year, you can still submit claims up through September 28. The claims must have been incurred in the period of July 1, 2022 through September 15, 2023. Please use the attached Benefit Wallet FSA claim form to request reimbursement (or claims can also be submitted electronically through Please note that if you have a Flexible Spending Account balance for FY23 and incur claims through September 15 that are processed through a Blue Cross Blue Shield health/dental/Rx plan, reimbursement will automatically be deducted from your FY23 Flexible Spending Account.

Benefit Wallet FSA Claim Form