Everything you need to know about Preferred One

For Dental and/or Flex

  • Setupyouraccountat transferred,claimsprocessedforFSAand/ordental,andforpaperlessEOB’s.
  • Register the first time using your nine digit 801 or 802 # - followed by two zeros at the end of the number.
  • Enter ROCH0001 for the account number.
  • Once you are logged into your account, you can view your Flexible Spending Account or dental.

Go Paperless

  • Paperless Explanation of Benefits - You will need to follow the steps below in order to receive the paperless Explanation of Benefits for Dental and/or Flex. You will be notified by e-mail when you can view your dental or Flex claims.
  • Click – Online Profile & Settings
  • Select – Change E-Mail Address/EOB Delivery Settings.
  • Please select the first option to receive EOB notifications by e-mail when a claim has been processed.You will receivee-mail from our software vendor - Preferred One.
  • Enter your e-mail address and submit the changes.

Direct Deposit

  • Direct deposit for reimbursement from your Flexible Spending Account is mandatory.
  • If your bank information is not on file with Insurance Services, please fill out the Direct Deposit Form found under the "Forms" button. If you do not have an 80# please call 328-4280.
  • By receiving reimbursements via direct deposit, you will receive your money up to five days faster than waiting for a check to be mailed to your home address.
  • Direct Deposit Enrollment Formsare available on the website at
  • Your bank information stays on file unless you make changes or terminate.

Instructions for Flexible Spending Reimbursement Form

  • Pleasefillinall employeeinformationincludingyourninedigitsubscriberID -itbeginswith 80andisthesameasyourdentalnumber.
  • Expenses must be incurred in the Plan (calendar) year during your period of coverage.
  • Health FSA Reimbursement Form.

You must attach a copy of the Explanation of Benefits reflecting the amount of the expense and the date(s) the expense was incurred (a canceled check or statementis not sufficient).

Prescriptiondrugsmust include yourname,date,andco-payamounts.

  • DependentCareReimbursement Form.

Your daycareprovider must sign the form.

Claims for futureservices are not eligible for reimbursement and will not beprocessed.

Submit your claim

  • To be reimbursed you must mail, scan, fax, or email a completed claim form to:

Rochester Public Schools District 535

Insurance Services, 10 SE 9 ½ St

Rochester, MN 55904

Fax: 507-328-4213

Email:

  • Claimswithmissingorillegibleinformationwillbedenied,pendingre-submission

oflegible information.

  • Employee must sign and date the form.
  • Claimswillbeprocessedwithin30days.
  • All claims must be received by the first or third Tuesday of the month to be eligible for payment by the second or fourth Monday of the month through (EFT) electronic fund transfer.
  • NotallitemsonthePreferredOnewebsitemay pertaintoyourbenefitswithRochesterPublicSchools. PleasereferenceyourSummaryPlanDocumentforbenefitdetails at orcall 328-4280.

What must I do to be reimbursed for my Dependent Care Account Plan (DCAP)

  • A DCAP expense is incurred when the service that causes the expense is provided, not when the expense is paid.
  • If you have paid for the expense but the services have not yet been rendered, then the expense has not been incurred.
  • If you prepay on the first day of the month for dependent care that will be given during the rest of the month, then the expense is not incurred until the end of that month and cannot be reimbursed until after the end of that month.
  • When you incur an expense that is eligible for payment, you must submit the Dependent Reimbursement Form.
  • If there is enough money in your DCAP, then you will be reimbursed for your eligible DCAP expenses and the money will be direct deposited into your bank account.
  • You will be reimbursed within 30 days after the date you submitted the Dependent Reimbursement Form.
  • If a claim is for an amount larger than that remaining in your current DCAP balance, then the excess part of the claim will be carried over into the following months.

RPS Insurance Services – Telephone (507) 328-4280 – Fax (507) 328-4213

Updated 01/22/14