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Benefit Coordinators Corporation

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Benefit Coordinators Corporation Reviews (1)

Review: My husband and I pay into a flex spending mastercard from his paycheck. I recently found out about a missed emergency room visit charge and since it was medical I used our medical flexible spending card. Apparently there is a time limit on these things and I was unaware. the charge went through just fine when I paid it. Usually when a charge is not eligible it wont go through. Basically now we are stuck paying for it twice. The funds used by them are expected to be paid back so we lose that and we have to pay back the same amount. A total over $1200.00 will be the end total for a $641.00 missed charge. It feels like we were set up on this to get as much money out of us as possible. The whole reason we decided to use BCC services was because money is tight and its nice to have something extra from our pay put aside to take care of anything medical. I feel cheated by their confusing eligibility practices! Take from the poor and feed the rich again! I hope there is something that can be done. I would be happy if there were a mark on their reputation. Maybe it can save some other hard working family from being completely ripped off my a company with more money than common sense.Desired Settlement: I would like credit for the monies paid to the account and used to pay off the debt. I think its a big cheat and they do everything they can to trap you into an unrealistic non negotiable deal.

Business

Response:

A copy of the Complaint ID [redacted], issued on February 18, 2015 has been received by our organization and we wouldlike to take this opportunity to respond to same.The Complainant alleges, in part, that Benefit Coordinators Corporation (hereinafter BCC) failed to reimburse claimant formedical flexible spending account charges in the amount of $641.67. BCC would like to take this opportunity to outlinethe timeline of events and circumstances leading up and related to the allegation and address Complainant’s desiredsettlement.BCC is a Third Party Administrator (hereinafter, TPA) who was retained by an organization, VLOC, to provide Section 125Reimbursement Account Administrative services. Pursuant to that contract, and the collateral materials distributed totheir participants, high dollar claims and merchant descriptions that are non FSA eligible expenses are subject toparticipant substantiation. An outline of the events relative to Claimants complaint are as follows:1. On 12/15/14 Claimant used his FSA Debit Card for payment of services in the amount of $641.67.2. The terminal was an approved vendor, thus allowing the above referenced charge to process.3. The high dollar value of the claim, together with the merchant description of “FINANcIAL CREDIT SERVI”prompted TPA to pend the payment of said transaction.4. A request for Substantiation letter was sent to Claimant on December 17, 2014.5. No response was received by TPA from Claimant and two subsequent request for Substantiation letters were thensent on January 5, 2015 and January 19, 2015.6. No response was received by TPA from Claimant and therefore, a fourth and final letter was sent to Claimant onJanuary 28, 2015 notifying Claimant that his Debit Card has been deactivated until back payment is made.7. On 2/13/15, Claimant did provide substantiation to TPA for the $641.67 charge. The substantiation, however,supported a claim for a date of service of 7/15/ 13 which was not an eligible expense in the current plan year — asit was outside the filing deadline and therefore the request for reimbursement was denied.8. On 2/18/15, Claimant called WA’s customer service unit requesting an explanation. [redacted] CSR verified forclaimant why the charge was denied and informed Claimant that his Debit Card could not be reinstated untilrepayment to his account for the $641.67 was made.Claimant did not incur the expense twice as his allegation states. The terminal accepted the Debit Card and the Claimantwas not asked to pay-out-of-pocket at the time of the transaction for services. However, since the claim was outside ofthe filing plan limit, Claimant is required to pay back to his FSA Account the ineligible expense previously taken.As outlined in the Summary Plan Description that all participants receive, the Claimant also has the right to dispute and/orappeal any denial.Therefore and in conclusion, TPA acted appropriately and in accordance with the IRS guidelines for Section 125Reimbursement Account administration and processing.

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Description: INSURANCE COMPANIES

Address: 100 Ryan Ct  Ste 200, Pittsburgh, Pennsylvania, United States, 15205

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