University of Colorado Medicine

ASI- Flexible Spending

UPI-Flex is an Internal Revenue Code (IRC) Section 125 flexible benefits plan that offers three different options, which may be elected separately or in combination to help lower your taxable income.

Premium Only Plan (POP)
The premium only plan allows your monthly medical and dental insurance premiums to be deducted from your paycheck before taxes are calculated.

Health Care Flexible Spending Account (HCFSA)
The HCFSA allows you to contribute, pre-tax, a minimum of $10 per month up to $6,000 each plan year to cover certain eligible out-of-pocket medical, dental and vision expenses not covered or reimbursed by insurance and incurred by you or your federal tax dependents.

Dependent Care Flexible Spending Account (DCFSA)
This is NOT for your dependent spouse’s or children’s health expenses. Rather, it is for dependent day care. You may contribute, pre-tax, a minimum of $10 per month and up to $5,000 to pay for the cost of caring for your federal tax dependents so you (and your spouse if you are married) can work.

For a complete overview of University Physician’s flexible spending accounts, click here.

ASI- Flexible Spending Claim Form
ASI- Flexible Spending Direct Deposit Form
ASIFlex Provider Website