I left my company on 1/14/2020 but retained insurance coverage through to 1/31/2020. At the end of the year my Wage Works account contained $103 which automatically rolls over to the next year (up to $250) and can be used for medical bills occurring in the new year. I submitted medical records for $753 for services delivered in January 2020. Wage Works rejected the claim stating I had left my employer on 12/31/2019.
I contacted WW and informed them their records were incorrect and the exit date was 1/14/2020. They then claimed the medical services were beyond the coverage time. Again, I corrected them to say I was still covered by company insurance, and that the first medical event on 1/4/2020 was greater than the remaining balance so the rest of the report was irrelevant. I was told they would resubmit the claim.
A month later, having received NO information I again contacted the only Wage Works phone number avalable. At that time, I was told I would need to submit an appeal. I asked for a contact and phone number. I was told NO ONE was available for contact. All appeals are in writing, either mailed or FAXed. (Fax? in 2020? seriously?). This company is either incompetent or worse. I suspected every year there are small amounts they collect from people who just don’t have the time or energy to jump their hurdles.
Gary
Houston,#2Author of original report
Tue, April 14, 2020
Take Care by Wage Works has the correct information. The company did not withhold a deposit to the WW account in 2020 since I was in the process of exiting and WW assumed that created a termination date. My actual date of termination has no berring on the payments from the WW account since it is not tied to employment.
Robert
Irvine,#3Consumer Comment
Tue, April 14, 2020
If you say that they are reporting your termination date incorrectly, then why didn't you contact your ex-employer to have them correct it? No company is going to take your word that the information is wrong, they are going to want proof. The best proof is having the employer contact them to correct the records.
The other thing you failed to mention is when you submitted the claim? You have only a certain amount of time to submit it. You need to look at the program to see what these deadlines are. Again your ex-employer is the place to go for this as they will have all of the information. If you submitted the claim after the deadline, it doesn't matter if it was a valid claim or not...it will get denied.
No, I do not work for them, however my company uses them for other programs. They are bound by VERY STRICT IRS regulations as to claim approval, and yes these regulations do sometimes make you "jump through hoops". However, your claim that they are keeping the funds is incorrect, with these types of programs any unused funds are returned to the employer. This company is just an administrators.