SHPS, Inc. 

11405 Bluegrass Parkway 

Louisville, KY 40299 

FSAFEDS Program

 Office of Personnel Management 

Invoicing Procedural Process
 

Presented by:
 

SHPS, Inc.
 

6/19/2003 1 
 

 

 

 

 

 

 

 

SHPS, Inc. 

11405 Bluegrass Parkway 

Louisville, KY 40299 

Table of Contents
 

1. Overview 

2. Process Flow 

3. Summary Invoice 

4. Detailed Invoice 

5. Invoice Payment 

6. Calendar of Events 

6/19/2003 2 
 

 

SHPS, Inc. 

11405 Bluegrass Parkway 

Louisville, KY 40299 

Overview 

The invoice process will consist of invoicing each of the agencies for participation in 

the FSAFEDS Program. The Health Care Flexible Spending Account (HCFSA) and the 

Dependent Care Flexible Spending Account (DCFSA) will be billed in different 

manners. Each HCFSA participant is billed at $4.00 per month of participation, 

payable as an annual payment and each DCFSA participant at 1.5% of the annual 

election. A month of participation is determined by the effective date of the election 

to be active any time during that month. 

The agency will be invoiced after receiving the first allotment payment for the 

participant. This allows for verification of the enrollment and the employment by the 

agency to be invoiced. 

The invoices will be generated once a month (15th of each month) and will only be 

sent to the agency if there is new participation to be invoiced. Once the initial invoice 

is sent, each following invoice will be for those entering the program. 

Attached is the process of determining who will be on each invoice. This process will 

do the verification that the participant has not been previously invoiced. 

The copy of the sample invoice displays the format and content to be provided to 

each agency. This content is displayed in a summary format for each plan. The 

HCFSA will list the effective month, number of participants, cost of participation, and 

total annual cost. The DCFSA will list the number of participants, 1.5% participation 

fee, total annual election, and total annual cost. 

Supporting detail information is also attached further explaining how the participation 

numbers or cost was determined. 

A calendar is included with the generation and due dates for payments. If there are 

any questions, please send your inquiries to fsafeds@shps.net. 

6/19/2003 3 
 

 

SHPS, Inc. 

11405 Bluegrass Parkway 

Louisville, KY 40299 

SHPS' Invoice Processing Flow 

4 

07/01/2003 

Enrollment Process 

completed 

Is the Invoice 

due? 

Yes 

Has SHPS 

received an 

Allotment 

Deposit? 

No End of Invoicing 

Process 

Yes 

Invoice Annual 

Participant 

Enrollment 

Start the Invoice 

Billing Process / 

Begin to check 

each Participant 

No 

Has the annual 

Participation 

fee been 

Invoiced? 

No 

No 

Is this the last 

Participant? Yes 

Yes Move to the next 

Participant 

Create Electronic 

or 

Paper Invoice 

Mail or e-mail each 

Agency 

6/19/2003
 
 

 

 

 

FSAFEDS Program Effective Date Number of 

Participants 

Annual Cost Total 

Health Care Flexible 

Spending Accounts 

07/2003 999,999 24.00 9,999,999,999.99 

08/2003 999,999 20.00 9,999,999,999.99 

09/2003 999,999 16.00 9,999,999,999.99 

10/2003 999,999 12.00 9,999,999,999.99 

11/2003 999,999 8.00 9,999,999,999.99 

12/2003 999,999 4.00 9,999,999,999.99 

Total Health Care FSA 9,999,999,999.99 

 

 

SHPS, Inc. 

11405 Bluegrass Parkway 

Louisville, KY 40299 

OPM

Agency Name 

Agency Address 

Agency Address 

Agency City, Agency State Agency Zip 

Invoice Date 99/99/9999 

Terms: Net 30 Days 

Number of 

Participants 

Participation 

Cost 

Total Annual 

Election 

Total 

Dependent Care Flexible 

Spending Accounts 

999,999 1.5% 9,999,999,999.99 

Total Dependent Care FSA 

9,999,999,999.99 

9,999,999,999.99 

Total Invoice 9,999,999,999.99 

Remit in full to:
 

SHPS, Inc.
 

11405 Bluegrass Parkway
 

Louisville, KY 40299
 

6/19/2003 5
 

 

OPM 

Participant 

ID 

Participant Name FSAFEDS Program Effective 

Date 

Election 

Amount 

***-**-9999 

***-**-9999 

***-**-9999 

***-**-9999 

***-**-9999 

Last Name, First Name 

Last Name, First Name 

Last Name, First Name 

Last Name, First Name 

Last Name, First Name 

Health Care Program 

Health Care Program 

Health Care Program 

Health Care Program 

Health Care Program 

07/2003 

07/2003 

07/2003 

07/2003 

07/2003 

9,999.99 

9,999.99 

9,999.99 

9,999.99 

9,999.99 

***-**-9999 

***-**-9999 

***-**-9999 

***-**-9999 

Last Name, First Name 

Last Name, First Name 

Last Name, First Name 

Last Name, First Name 

Dependent Care Program 

Dependent Care Program 

Dependent Care Program 

Dependent Care Program 

07/2003 

07/2003 

07/2003 

07/2003 

9,999.99 

9,999.99 

9,999.99 

9,999.99 

SHPS, Inc. 

11405 Bluegrass Parkway 

Louisville, KY 40299 

Agency Name 

Agency Address 

Agency Address 

Agency City, Agency State Agency Zip

Supporting Detail 

6/19/2003 6 
 

 

SHPS, Inc. 

11405 Bluegrass Parkway 

Louisville, KY 40299 

Invoice Payments 

Invoices can be sent by e-mail or by USPS. 

To select the e-mail option, you must provide a primary and secondary contact 

e-mail address. 

Payments can be made via: 

• Check Payment 

• ACH Payment 

• Wire Payment 

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SHPS, Inc. 

11405 Bluegrass Parkway 

Louisville, KY 40299 

• 

July 2003 

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