Report/Notice Availability

FSA Reports

Report Name	Date Notification Sent	Date Pulled	Description
Account Balance Detail Report	First of the month	N/A	Shows year-to-date employee account balances
Debit Card Funding Report	Weekly, Monday	Tuesday, for the previous Monday-Sunday transactions	Debit card transactions Transaction pull will state it is from Bancorp
Debit Card Status Notification	Weekly, Monday	N/A	Shows status of participant cards, use at your own discretion
Employer Fee Funding Notification	15th of the month	Approximately the 26th of the month	Monthly per participant fee for both HSA and FSA, on a divisional basis
Employer Funding Notification	Weekly, Friday	Two business days later, if there are manual transactions to fund	Manual claims that need to be funded
Repayments Notification	Weekly, Monday	N/A	Shows denied participant claims that need repayment
Payroll Deduction Report	4-5 days prior to payroll date	N/A	Shows the amount that will be posted to participant benefits for the payroll date

Report Name	Date Notification Sent	Date Pulled	Description
HSA Account Detail Report (Detail)	First of the month	N/A	Shows year-to-date HSA contributions, per pay period for the year
HSA Account Detail Report (Summary)	First of the month	N/A	Shows year-to-date HSA contributions, total sum year-to-date
HSA Employer Summary Report Notification	First of the month	N/A	Overview of HSA plan for current month and year-to-date
HSA Funding Collection Notification	Notice sent per date within contribution file	Debit initiated from account per date within contribution file	Shows ACH debits for the contribution file received and provides breakdown of contributions applied per participant

Report Name
Claim Denial Notification
Final Filing Notification
Account Statements
HSA Tax Forms: 1099-SA and 5498-SA
Debit Card Purchase Notification
Receipts Needed for Claim/Swipe