Table of Contents Who is eligible? How can a Limited Purpose Flexible Spending Arrangement (FSA) help me? How does the Limited Purpose FSA work? When can I enroll and how do I do it? When does my coverage begin? Whose expenses qualify? What health care expenses are eligible? When is additional documentation required? Orthodontia expenses Stockpiling Ineligible health care expenses How do I get reimbursed? Carryover and the claim submission deadline How do I receive information from Navia Benefit Solutions? The Navia Benefits Debit Card Debit card requests IIAS and participating merchants When can I make changes? Approved leave of absence (including Leave Without Pay) Transfers between state agencies and higher-education institutions Continuation coverage through COBRA What happens if my employment ends? How do I appeal a denied claim? How to contact Navia Benefit Solutions Business hours: Monday – Friday, 5 a.m. – 5 p.m. PT Phone: 1-800-669-3539 Email: [email protected] Fax: 1-425-451-7002 or toll-free fax 1-866-535-9227 Mail: Navia Benefit Solutions, PO Box 53250, Bellevue, WA 98015 2