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Disability Claims Procedures in FSAs


JustMe
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Technically, it would be applicable (and any ERISA covered plan) if a determination of disability is needed to make a claim on benefits.  If the definition of disability is defined as under the SSA or the employer's LTD Plan, then it is not subject to the rule.  I can't think why a determination of disability would included in an FSA Plan, but I would review it to be sure

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That's a great question.  I would think that it would not apply unless the plan administrator selects the physician(s) that make the determination.  What do you think?  The plans I have dealt with that require a licensed physician - it is any licensed physician and it also provides that if SSA has made a determination to disability that the administrator can rely on that.

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