Santa Clara University

Flexible Spending Accounts

(Section 125 Pretax Programs)
Provider: TLC Administrators
1-800-533-0113
http://www.lipman.com

Premium:

All medical and dental premium will be withheld from your paycheck on a pre-tax basis.

Medical Expense Reimbursement Account:

This allows you to set aside from, through payroll deduction, funds to cover medical, dental and vision expenses not covered under your SCU health plan.
Minimum annual election: $300
Maximum annual election: $5,000

Dependent Care Reimbursement Account:

This allows you to set aside, through payroll deduction, funds to cover dependent care expenses.
Minimum annual election: $600 per family.
Maximum annual election: $5000 per family.