An Important Message for NCFlex Participants

January 2023

Remember to check your January pay stub!

Benefit elections made during Open Enrollment for NCFlex 2023 benefits were effective Jan. 1 and should be deducted from your January pay. Review your pay stub to verify all premium amounts and plans for which you enrolled. See our NCFlex summary of benefits for rates:

University Employees

Non-University Employees

If you feel there is an error in your benefits or deductions, contact your Human Resources office.

NCFlex February Webinar -

Critical Illness

To honor American Heart month, we will be discussing our Critical Illness plan, now administered through Voya. We will discuss new plan features, how to file claims, the new wellness benefit, how to update beneficiaries for the plan and answer any questions you might have.

February 16, 1 - 2 p.m.
February 28, 12 - 1 p.m.

Register on our Webinars Page or from the above links. We will also post the recordings on the Webinars Page after the event. Bookmark the page for later use. Please email us at with any questions.

New Wellness Benefit for 2023

Starting January 1, 2023, participants of the NCFlex Accident and Critical Illness Plans (administered by Voya) are now eligible for a wellness benefit. This benefit is payable once per year per covered person for completing an eligible health screening test. The deadline to file a wellness claim through Voya is the end of the plan year or 6 months after the screening test, whichever is later.

If you participate in BOTH plans, you can receive a wellness benefit from each plan for the same screening! Learn more about what screenings are eligible and how to file a claim by viewing the NCFlex Critical Illness and Accident Wellness Benefit Flyer.

As a reminder, the NCFlex Cancer plan (administered by Allstate) also has a Wellness Benefit, payable once per year per covered person. The Wellness Benefit through Allstate does not have a filing deadline.

Reach out to with any questions.

Flexible Spending Account Reminders

Health Care FSA

  • If you have elected a new amount for 2023, funds were loaded onto your convenience card effective Jan. 1 and can be used immediately.
  • The election you've made for 2023 should not be used for prior year expenses, but only for dates of service dated Jan. 1 - Dec. 31, 2023 (outside of any rollover).
  • If you have funds that rolled over from 2022, these funds will first be used for 2022 claims which have a filing deadline of March 31, 2023. Funds left after March 31 are available to use for 2023 expenses (dated Jan. 1 - Dec. 31) once any 2023 funds are depleted.
  • The extended filing deadline for 2021 expenses ends March 31, 2023.
  • Learn more about what's covered by viewing the NCFlex Sample List of FSA eligible items and the interactive eligibility list at


Dependent Day Care FSA

  • Funds elected for the 2023 plan year are not available for reimbursement until they have been payroll deducted.
  • If you experience a change in day care needs, you can use the life event "Day Care change" to adjust the amount you contribute, cancel the plan or start the plan, within 30 days of the event.


For more information, claim forms, and how to file a claim, visit the FSA section of Access your account(s) at or through the P&A Group Mobile app. For questions about your account, contact P&A Group at 1-866-916-3475. 

Critical Illness and Accident Plan Participants - 1099 Forms


If you were paid a benefit from your Critical Illness or Accident Plan in 2022 over $600, you will receive a 1099 from Allstate (the vendor for Critical Illness in 2022) or Voya (for Accident). If receiving a 1099 for the Accident plan, please note that you will receive three copies; two are for your records.

Please consult a tax professional as to whether the amount received is fully subject to income tax. Since the premium is deducted on a pre-tax basis, the benefit received is only subject to income tax to the extent that your unreimbursed medical expenses (for which Health Care FSA funds were NOT used to pay) are less than the benefit payment.

For example, if a plan (such as Accident) pays $200 for a medical office visit, but the covered individual has unreimbursed medical costs as a result of the visit of $30 (such as a copay that the HCFSA was not used for), then the $30 would be excluded from your income and the excess amount of $170 would be taxable.

More information can be found in this article around taxation and fixed indemnity plans which discusses an IRS Memo released in 2017.