Nbsbenefits - Date of Service: Type of Service: Insurance Co-Pay: Patient Co-Pay: The Flexible Spending Account Plan is offered to State employees pursuant to Hawaii Revised Statute, chapter 78, and within the meaning of Section 125 of the Internal Revenue Code of 1986 (“Code”), as amended, relating to cafeteria plans.

 
Title: HOLD HARMLESS AGREEMENT Author: NBS Created Date: 9/29/2009 10:59:57 AM. Pa.sugarhouse

staging.nbsbenefits.com8523 South Redwood Road, West Jordan, Utah 84088 (800) 274-0503 [email protected] . www.nbsbenefits.com. Created Date: 1/5/2016 5:05:32 PM ...If you are new to nbsbenefits.com, please Register to set up your login. We will guide you through the login process, step by step. National Benefit Services is an independent Third Party Administrator (TPA). We partner with major mutual fund platform providers and local investment professionals to build a “professionally bundled” service team. This approach provides the best program available for our Plan Sponsors – the accessibility and responsiveness of local ... or visit participant.NBSbenefits.com. The New NBS Web Portal You may access your benefit account information and helpful resources using our online NBS Web Portal. X Features of the Portal: Interact with balances, summaries, and highlights of all your benefit accounts • Get detailed transaction history showing deposits and payments of each ... Consolidating your accounts is common in the retirement industry. Contact your financial representative if you have further questions regarding this process. You may also contact NBS by phone at 1 (800) 274-0503 or by email at [email protected] for questions about forms and whether incoming rollovers are allowed by your plan. I have a ...IRS Contribution Limits for 2024. The contribution limit for employees who participate in our 403 (b) and 457 (b) plans is $23,000. The catch-up contribution limit for employees aged 50 and over who participate in these plans is $7,500. Total annual maximum contribution is $23,000 for employees under the age of 50 and $30,500 for employees over ...Stephen Smith , JD Supervisor, Relationship Manager [email protected]. Dec 4, 2018. nbsbenefits.com . About Us | National Benefit Services Stephen Smith , JD Relationship Manager [email protected]. Apr 23, 2018. nbsbenefits.com . ECFC Webinars - Employers Council On Flexible CompensationUpon completion, fax (1-800-597-8206), securely email ([email protected]), or mail a copy of the form to National Benefit Services, LLC. Please allow 5 business days for processing. Salary Reduction Agreements received less than 5 business days prior to the SRA due date are not guaranteed to be processed for that SRA due date.Direct Deposit Quick and Easy! When you sign up for direct deposit, your claim reimbursements go right to your bank account. No need to wait for the mail or to cash or deposit a check.Sign in. Username *. Forgot your Username? Let us help. Password *. Forgot your Password?As a trusted benefit and financial administrator to over 20,000 businesses and individuals in every state, it’s no surprise we’ve become a national name in benefit administration. Whether it’s our commitment to service, our product knowledge or our customized solutions, we firmly believe in delivering the highest quality possible.The Salary Reduction Agreement (SRA) is utilized to establish, change, or cancel salary reduction withheld from your paycheck and contributed to the 403(b) plan on your behalf. Please check the appropriate boxes for the effective date you have listed above. To change, begin, or cancel contributions, enter your desired amount(s) and investment ...A health care flexible spending account (FSA) is an employer-sponsored benefit that allows you to set aside pre-tax dollars to be used for qualified out-of-pocket medical expenses not covered by your health plan. Who does it cover? An FSA covers qualified medical expenses for you and your dependents. Please consult your tax professional for ... Open Enrollment for the 2024-25 plan year starts March 1st and ends April 30th. 855-399-3035| [email protected] | www.nbsbenefits.com FSA No FSA Annual Taxable Income $24,000 $24,000 Health FSA $1,500 $0 Dependent Care FSA $1,500 $0 Total Pre-tax Contributions -$3,000 $0 Taxable Income after FSA $21,000 $24,000 Income Taxes -$6,300 -$7,200 After-tax Income $14,700 $16,800 After-tax Health and Welfare …Note: The password is case sensitive. If you fail to login three consecutive times your account could be disabled.The City and County of Honolulu has established the City & County of Honolulu Flexible Benefit Plan (City Flex) for eligible city employees, their dependents and beneficiaries. If you anticipate paying for unreimbursed medical expenses such as physician office visits, hospital stays, dental or orthodontic treatment, prescription drugs, vision ...Enrollment. Please enter the following information to begin: - Required Field. Employer/Enrollment ID.430 W 7th Street, Suite 219393, Kansas City, MO 64105-1407 (855) 399-3035 my.nbsbenefits.com State of Hawaii Island Flex Flexible Spending Accounts (FSA) Continual Reimbursement Request Dependent Care Expenses Please send completed form and required documentation to National Benefit Services. 1 Personal Informationorganization, please call 801-532-4000 ext. 128 or email [email protected] ...Three easy ways to manage data: 1. Upload an Excel file in NBS format 2. Enter the specific dollar amount for each employee 3. Copy previously submitted online payments430 W 7th Street, Suite 219006, Kansas City, MO 64105-1407 (800) 274-0503 ext 5 www.NBSbenefits.com 457(b) Transfer Authorization Form Participant Instructions The 457(b) Transfer Authorization Form must be submitted to National Benefit Services, LLC (NBS), the third party administrator, toA health care flexible spending account (FSA) is an employer-sponsored benefit that allows you to set aside pre-tax dollars to be used for qualified out-of-pocket medical expenses not covered by your health plan. Who does it cover? An FSA covers qualified medical expenses for you and your dependents. Please consult your tax professional for ...On November 9, 2023, the IRS issued Revenue Procedure 2023-34 which provides some of the 2024 cost-of-living adjustments for inflation as provided by the Internal Revenue Code. For plan sponsors of welfare benefit and fringe benefit plans, the most applicable cost-of-living adjustments are listed in the following table:A fiduciary must discharge their duties, "with the care, skill, prudence, and diligence under the circumstances then prevailing that a prudent man acting in a like capacity and familiar with such matters would use in the conduct of an enterprise of a like character and with like aims." (ERISA §404 (a) (1) (B)). If you are new to nbsbenefits.com, please Register to set up your login. We will guide you through the login process, step by step. If you are new to nbsbenefits.com, please Register to set up your login. We will guide you through the login process, step by step.Sign in. Username *. Forgot your Username? Let us help. Password *. Forgot your Password?Welcome to National Benefit Services, LLC. Username. Password. Forgot User ID or Password? Remember me on this device. Note: The password is case sensitive. If you …or visit participant.NBSbenefits.com. The New NBS Web Portal You may access your benefit account information and helpful resources using our online NBS Web Portal. X Features of the Portal: Interact with balances, summaries, and highlights of all your benefit accounts • Get detailed transaction history showing deposits and payments of each ...Consolidating your accounts is common in the retirement industry. Contact your financial representative if you have further questions regarding this process. You may also contact NBS by phone at 1 (800) 274-0503 or by email at [email protected] for questions about forms and whether incoming rollovers are allowed by your plan. I have a ...Transit Passes & Vanpooling (combined) $270/mo. $270/mo. Open enrollment for many employers may have already passed, and employees may have elected benefits based on the 2020 limits due to the late announcement of these 2020 limits. Revenue Procedure 2019-44 does not contain any expressly stated relief to employees who have made their …430 W 7th Street, Suite 219006, Kansas City, MO 64105-1407 (800) 274-0503 ext 5 www.NBSbenefits.com 457(b) Distribution/Rollover Authorization Form Participant Instructions The 457(b) Distribution/Rollover Authorization Form must be submitted to National Benefit Services, LLC (NBS), the third partySign in. Username *. Forgot your Username? Let us help. Password *. Forgot your Password?Contact Us - Call Customer Service at (801) 532-4000, Toll Free at (800) 274-0503 or Email us at [email protected] started at National Benefit Services in 2017 as the Vice President over Finance. He now oversees organizational operations in his role as President. Andrew strongly …Experienced. Over 15 million American families carry our convenient health spending debit cards. Learn More. WealthCare HSA helps individuals manage their health spending and saving needs with interactive tools, resources, and an online account portal.The University of Hawaii 403 (b) plan allows you to contribute a portion of your compensation on a pre-tax or post-tax (Roth) basis in order to save for retirement. Pre-tax basis means that the money used to invest in the 403 (b) plan is not taxed until the funds are withdrawn. You may also choose to invest in the 403 (b) plan on an after-tax ...(800) 274-0503 | [email protected] | www.nbsbenefits.com TM R • Dentures • Orthodontia expenses • Preventative care at dentist office • Bridges, crown, etc. • Eyeglasses • Laser surgery • Office fees • Guide dog and upkeep/ other animal aid • Nutritional and dietary supplements (e.g., bars, milkshakes, power drinks, 8523 S Redwood Rd, West Jordan, UT 84088 (800) 274 0503 ext 5 Fax (800) 597-8206 www.NBSbenefits.com 403(b) Loan Authorization Form 1 Participant Information Participant Name Participant Email Address Participant Mailing Address, City, State, Zip Code Employer Name Employer State Social Security Number Personal Phone Number Employer-paid reimbursement programs for health care benefits. These plans allow employers to set aside a specific amount of money to pay for employee health care expenses as defined by the plan. All contributions to an HRA are tax deductible to the employer and tax free to the employee. Download HRA [email protected]. Username Retrieval Username Retrieval We will maintain the confidentiality of your personal information in accordance with our privacy policy. Username Retrieval Enter your Email Address * Cancel ...Email: [email protected] Inquiries regarding the status of your distribution or rollover may be directed to NBS at: Phone: 1-800-274-0503 option 5 After this form has been received by NBS in good order, it will be forwarded to your provider within 5 business days. After paperwork has been forwarded to your investment provider ...Direct Deposit Quick and Easy! When you sign up for direct deposit, your claim reimbursements go right to your bank account. No need to wait for the mail or to cash or deposit a check. Email: [email protected] (PDF, TIFF, or JPG files only) Flexible Spending Account (FSA) Claim Form Instructions For Quick Claim Processing: Fully complete & sign this claim form Attach copies of supporting EOB, receipts, vouchers, bills, etc. All receipts must include a date, description, and amount of the service Welcome to the University of Hawaii 403 (b) Plan program. This Program is a supplemental retirement savings program authorized by section 403 (b) of the Internal Revenue Code. Through the program you may set aside a portion of your income for retirement and invest it on a pre-tax basis. Generally, the amount you invest, together with ...Island Flex Flexible Spending Accounts Program Open Enrollment Dates: March 1 - April 30, 2024 What is it? Island Flex is a flexible spending accountsParticipant Instructions. The University of Hawai'i 403(b) Distribution/Rollover Authorization Form must be submitted to National Benefit Services, LLC (NBS), the third party administrator, to authorize a distribution or rollover of 403(b) amounts from your employer or former employer's plan. If you are requesting a Hardship, this form is not ...Distribution: Original – OTM, Employee Benefits Unit (Page 1 of 3) STATE OF HAWAII DOE Last Revised: 403(b) PLAN/ SALARY REDUCTION AGREEMENT DOE OTM 100-003 7/11/2023 Former DOE Form: 403(b)SRAIRS Contribution Limits for 2024. The contribution limit for employees who participate in our 403 (b) and 457 (b) plans is $23,000. The catch-up contribution limit for employees aged 50 and over who participate in these plans is $7,500. Total annual maximum contribution is $23,000 for employees under the age of 50 and $30,500 for employees over ...Page 1 of 1 - Welfare-529 (07/2023) Please fax, mail, or email your claim form and receipts to the following: Mail: National Benefit Services, LLC, P.O. Box 219393, Kansas City, MO 64121-9393 Email: [email protected] (PDF, TIFF, or JPG files only) Transit & Parking Claim Form2022 (new) 2021 (old) Parking. $280/mo. $270/mo. Transit Passes & Vanpooling (combined) $280/mo. $270/mo. Earlier this year, the IRS announced the following limits for the 2022 cost-of-living adjusted limits for Dependent Care Assistance Programs (DCAPs), health savings accounts (HSAs), and high-deductible health plans (HDHPs). Sign in. Username *. Forgot your Username? Let us help. Password *. Forgot your Password? Sign in. Username *. Forgot your Username? Let us help. Password *. Forgot your Password? P.O. Box 6980 West Jordan, UT 84084 (855) 399-3035 Fax (844) 438-1496 my.nbsbenefits.com Health Care Expense Worksheet Instructions This worksheet is for estimating annual health care expenses only. 1. Enter your annual cost for each health care option you use 2. Add up the Total Annual Health Care Expense 3.Payroll/HR Forms: If you have questions about the following resources, please contact us at (801) 443-1090 or [email protected] in a health savings account allows you to invest pre-tax dollars for your biggest retirement expense - HEALTHCARE. You can continue to contribute year after year and …430 W 7th Street, Suite 219393, Kansas City, MO 64105-1407 (855) 399-3035 my.nbsbenefits.com State of Hawaii Island Flex Flexible Spending Accounts (FSA) Continual Reimbursement Request Dependent Care Expenses Please send completed form and required documentation to National Benefit Services. 1 Personal Information 8523 S Redwood Rd, West Jordan, UT 84088 (800) 274 0503 ext 5 Fax (800) 597-8206 www.NBSbenefits.com 403(b) Loan Authorization Form 1 Participant Information Participant Name Participant Email Address Participant Mailing Address, City, State, Zip Code Employer Name Employer State Social Security Number Personal Phone Number myGBS Member Login. GBS has nearly 30 years of experience in group benefits, partnering with thousands of large and small companies. We will be by your side as we navigate the complex terrain of insurance and benefits. Please continue to fund your employees’ Ameriprise accounts using your traditional method until you receive an email from NBS informing you that you may begin using the online tool. Contact us if you have any questions at [email protected] or (877) 938-7310. NON-ERISA 403 (B) Forms | National Benefit Services. Simple. Effortless. Efficient. Whether you need to get set-up or file a claim, download the form that fits and we’ll take it from there.(800) 274-0503 | [email protected] | www.nbsbenefits.com TM R • Dentures • Orthodontia expenses • Preventative care at dentist office • Bridges, crown, etc. • Eyeglasses • Laser surgery • Office fees • Guide dog and upkeep/ other animal aid • Nutritional and dietary supplements (e.g., bars, milkshakes, power drinks,Date of Service: Type of Service: Insurance Co-Pay: Patient Co-Pay: The Flexible Spending Account Plan is offered to State employees pursuant to Hawaii Revised Statute, chapter 78, and within the meaning of Section 125 of the Internal Revenue Code of 1986 (“Code”), as amended, relating to cafeteria plans.organization, please call 801-532-4000 ext. 128 or email [email protected] ...Do you qualify for a hardship? Your employer’s plan and the IRS define definite circumstances that may qualify you for a hardship distribution from your 403(b) retirement plan.Sign in. Username *. Forgot your Username? Let us help. Password *. Forgot your Password?About Us. National Benefit Services, LLC provides retirement and flexible benefit administration to over 20,000 employers nationwide and has grown to become a national … Appeals and requests for hearings can be faxed to (512) 776-7593, or mailed to: or hand delivered to: Newborn Screening Unit 1100 West 49th Street Department of State Health Services Mail Code 1918 Mail Code 1918 Austin, TX 78756 P.O Box 149347 Austin, Texas 78714-9347. 8523 South Redwood Road, West Jordan, Utah 84088 1-800-274-0503 [email protected]. www.nbsbenefits.com. Savings for You and Your Employees. How the Plan Works for You. HRAs mean savings for you and more options for your employees. 1. Premium savings. By combining a higher‐deductible insurance plan with …Tax Benefits. Saving through an employer sponsored retirement plan will reduce current taxable income and allows your savings to grow tax deferred until you withdraw the money in your retirement years when you will likely be in a lower tax bracket. Some plans offer an additional choice called a “Roth” option, which allows you to forego ...If you have questions or concerns, email [email protected], call 800-274-0503, or submit an inquiry through this form. To report a security problem or incident, email [email protected]. How and why we collect information. NBS requests information from client plan sponsors to initially establish plan sponsor (account) and plan records.If you are new to nbsbenefits.com, please Register to set up your login. We will guide you through the login process, step by step.An experienced industry leader in third party administration. Diversified Benefit Services, Inc. (DBS) is a leading third party administrator (TPA) providing excellence in benefit management solutions for over thirty-five years. We’re fully devoted to designing, enrolling, administering, and servicing account-based benefit plans.If you have an existing username and password, click "Sign In" - there is no need to register again. If you have never registered, click "Register."The City and County of Honolulu has established the City & County of Honolulu Flexible Benefit Plan (City Flex) for eligible city employees, their dependents and beneficiaries. If you anticipate paying for unreimbursed medical expenses such as physician office visits, hospital stays, dental or orthodontic treatment, prescription drugs, vision ... Appeals and requests for hearings can be faxed to (512) 776-7593, or mailed to: or hand delivered to: Newborn Screening Unit 1100 West 49th Street Department of State Health Services Mail Code 1918 Mail Code 1918 Austin, TX 78756 P.O Box 149347 Austin, Texas 78714-9347. Upon completion, fax (1-800-597-8206), securely email ([email protected]), or mail a copy of the form to National Benefit Services, LLC. Please allow 5 business days for processing. Salary Reduction Agreements received less than 5 business days prior to the SRA due date are not guaranteed to be processed for that SRA due date.Let's get you registered - please provide the information below. First Name. Last Name. Zip Code. Check this box if you received a debit card for your benefit account. Cancel.430 W 7th Street, Suite 219006, Kansas City, MO 64105-1407 (800) 274 0503 ext 5 www.NBSbenefits.com 403(b) Hardship Authorization Form Participant Instructions The 403(b) Hardship Authorization Form must be submitted to National Benefit Services, LLC. (NBS), the third party administrator, to authorizeContributing in a health savings account allows you to invest pre-tax dollars for your biggest retirement expense - HEALTHCARE. You can continue to contribute year after year and …First, the change is primarily due to the “Tax Cuts and Jobs Act” and the “Bipartisan Budget Act of 2018.”. Effective January 1, 2019, changes to the 403 (b) hardship distributions include: The 6-month suspension period would no longer be required, with a plan document amendment. The requirement to take a loan prior to taking the ...855-399-3035 | [email protected] | www.nbsbenefits.com What are Commuter Benefits? They are employer-sponsored benefits that allow you to set aside pre-tax earnings from your paycheck to pay for work-related mass transit and parking expenses. Why should I participate?430 W 7th Street, Suite 219006, Kansas City, MO 64105-1407 (800) 274 0503 ext 5 www.NBSbenefits.com 403(b) Hardship Authorization Form Participant Instructions The 403(b) Hardship Authorization Form must be submitted to National Benefit Services, LLC. (NBS), the third party administrator, to authorizePage 1 of 1 - Welfare-529 (07/2023) Please fax, mail, or email your claim form and receipts to the following: Mail: National Benefit Services, LLC, P.O. Box 219393, Kansas City, MO 64121-9393 Email: [email protected] (PDF, TIFF, or JPG files only) Transit & Parking Claim FormSchedule a no-cost hearing test with a local provider; Get the highest quality hearing aids using your hearing benefit allowance; Schedule any necessary follow-up appointments

Three easy ways to manage data: 1. Upload an Excel file in NBS format 2. Enter the specific dollar amount for each employee 3. Copy previously submitted online payments. Destin to miami

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Note: The password is case sensitive. If you fail to login three consecutive times your account could be disabled.888-345-7990 [email protected] Homepage sign in register 1314 S. King Street, Suite 305 Honolulu HI 96814 (808) 465-2284 (855) 399-3035 [email protected] 4 . amount I may contribute Medical FSA Financial advisor – the employer sponsoring your retirement plan can provide you with this necessary contact information. NBS – If you know the type of form you need, you may request it by emailing [email protected] or by calling (801) 532-4000 ext 513.CalSTRS created 403bcompare.com as a resource for the state of California public education employees so they can make “better informed investment decisions”. All investment providers who are listed on 403bcompare.com have registered with the State of California in compliance with Education Code Section 25100-25115.Employer-paid reimbursement programs for health care benefits. These plans allow employers to set aside a specific amount of money to pay for employee health care expenses as defined by the plan. All contributions to an HRA are tax deductible to the employer and tax free to the employee. Download HRA Brochure.Participant Instructions. The University of Hawai'i 403(b) Distribution/Rollover Authorization Form must be submitted to National Benefit Services, LLC (NBS), the third party administrator, to authorize a distribution or rollover of 403(b) amounts from your employer or former employer's plan. If you are requesting a Hardship, this form is not ...Health and Welfare. This website is optimized for the latest versions of Internet Explorer, Chrome, or Firefox. Safari is not a compatible browser. If you have an existing username and password, click "Sign In" - there is no need to register again. If you have never registered, click "Register." NBS can help uptake and store carbon; manage floods, droughts, and extreme weather events; restore watershed and ecosystem health; increase biodiversity; improve agricultural production; and provide a wide range of socio-economic benefits. Additionally, NBS (including green infrastructure) can be more flexible, resilient, and cost-effective ... As a trusted benefit and financial administrator to over 20,000 businesses and individuals in every state, it’s no surprise we’ve become a national name in benefit administration. Whether it’s our commitment to service, our product knowledge or our customized solutions, we firmly believe in delivering the highest quality possible.Retirement Services. Employer sponsored retirement plans are the best way to save for retirement. NBS offers all types of retirement plans to meet the needs of each employer and individual. We handle the details so you …If you have an existing username and password, click "Sign In" - there is no need to register again. If you have never registered, click "Register."Sign in. Username *. Forgot your Username? Let us help. Password *. Forgot your Password? Welcome to National Benefit Services, LLC. Username. Password. Forgot User ID or Password? Remember me on this device. Note: The password is case sensitive. If you fail to login three consecutive times your account could be disabled. Login. Welcome to the University of Hawaii 403 (b) Plan program. This Program is a supplemental retirement savings program authorized by section 403 (b) of the Internal Revenue Code. Through the program you may set aside a portion of your income for retirement and invest it on a pre-tax basis. Generally, the amount you invest, together with ...Note: The password is case sensitive. If you fail to login three consecutive times your account could be disabled.State of Hawaii 1314 S. King Street, Suite 326 Honolulu HI 96814 (808) 465-2284 (855) 399-3035 [email protected] 5 Let’s look at an employee example: Employee Leilani has one child attending pre-school, for which she pays the pre-schoolNote: The password is case sensitive. If you fail to login three consecutive times your account could be disabled.Page 1 of 1 - Welfare-560 (07/2023) Please fax, mail, or email your claim form and receipts to the following: Mail: National Benefit Services, LLC, P.O. Box 219393, Kansas City, MO 64121-9393 Fax: (844) 438-1496 Email: [email protected] (PDF, TIFF, or JPG files only) NBS Orthodontic ContractLet's get you registered - please provide the information below. First Name. Last Name. Zip Code. Check this box if you received a debit card for your benefit account. Cancel.Now, if you have both a 403 (b) and a 457, your MAC limit is combined. Meaning, your MAC for the 403 (b) and your MAC for the 457 is totaled together ($39,000 for 2020). All employee elected deferrals, both pre-tax and Roth (403b and 457), must use the designated salary reduction agreement (SRA) form to start, change or cancel the ….

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