About the Reimbursement Plan
The Working Spouse Program (WSP) is a benefit available to employees who have access to medical and prescription drug coverage through their spouse or another source. This plan can help you avoid unexpected medical costs and is a great option to consider.
WSP covers medical expenses, which means you can receive medical reimbursement for copays, coinsurance, and deductibles that you incur under your alternate health insurance group plan, up to a maximum amount of $5,000 for individuals or $10,000 for families.
There is no cost to join the Working Spouse Program (WSP) for eligible employees and their dependents. However, please note there may be a cost associated with enrolling in an alternate group health insurance plan, such as your spouse’s employer plan.
Here are the eligibility requirements for WSP
New hires or newly eligible full-time and part-time employees and their dependents.
Existing full-time and non-union employees and their dependents, with alternate health coverage, may elect during Open Enrollment or during a Special Enrollment Period if you experience a Qualifying Life Event.
Frequently Asked Questions
Eligibility
How do I know if I am eligible for the Working Spouse Program (WSP)?
You are eligible for the WSP if you are a new employee, were enrolled in the Golden State Foods Health Plan the day before the new WSP plan year started. You also qualify if you were already enrolled in WSP last year.
When can I enroll?
You can enroll in the WSP during your Open Enrollment Period or during a qualifying life event. Contact your Human Resources department for assistance.
Benefits
What are the benefits of the WSP?
If you have access to alternate group medical and prescription drug coverage, your WSP offers nearly 100% coverage. The program will reimburse you for eligible co-pays, co-insurance and deductibles incurred through your alternate group medical plan up to $5,000/single and $10,000/family per year. No premium contribution will be deducted from your paycheck. No premium contribution will be deducted from your paycheck.
What can I use the benefits for?
You can use your benefits for your co-pays, co-insurance, and deductibles that you and your family might have to pay under a different group health plan.
How do I access the benefits?
You can access your benefits by swiping your debit card at the time of service or while picking up a prescription. If you don’t have your debit card handy, submit a claim by uploading the receipts in the mobile app or by filing a paper claim.
Reimbursements
Can I be reimbursed via both WSP and my FSA or HRA?
You might currently be enrolled in a Health Reimbursement Arrangement (HRA) or a Flexible Spending Account (FSA). It’s important to note that reimbursement cannot be obtained simultaneously from both the WSP and your HRA or FSA.
How do I file a claim for reimbursement?
You have various options available for filing a claim: through our portal, the Mobile App or the conventional paper method.
How Do Debit Card Claims Work?
Visit gsf.pinnacletpa.com and request reimbursement. For a QuickStart guide, please refer to the resources tab.
How Do Electronic Claims Work?
Request reimbursement by visiting gsf.pinnacletpa.com. Refer to the resources tab for a QuickStart guide on how to file a claim.
What If I prefer Paper Claims?
If you choose to go the paper route, follow these steps:
1. Complete the GSF claim form.
2. Sign the claim form.
3. Send the claim for to [email protected], fax it to 833-545-7277 or mail it to the following address:
Pinnacle Claims Management Inc.
P.O. Box 2220
Newport Beach, CA 92658
How long will it take to be reimbursed for out-of-pocket claims?
Traditionally, claims are paid between 1-2 weeks, but it can take up to 30 days. If you need assistance with a claim, please contact customer service at 833-545-7277 or email [email protected]
Debit Card
How does the debit card work?
We have created a QuickStart guide that will walk you through how to use the debit card and the reimbursement portal.
How long will it take to receive the debit card?
You will receive your debit card in 7 to 10 days via the USPS once you complete your attestation and set up your benefits.
How many debit cards will I receive?
You will be receiving two cards: one for your personal use as the employee, and another for your dependents. Please keep in mind that your name, as the employee, will be printed on both cards.
Are there places where the debit card won’t be accepted?
Yes. The payment will not be accepted at locations that do not offer eligible goods and services, such as hardware stores, restaurants, bookstores, gas stations and home improvement stores. For example, you can use your debit card at Target in the pharmacy, but you cannot use the debit card at the main checkout registers.
Who do I call for questions about the debit card?
You can call customer service at 833-545-7277 or email [email protected].
When can I start using my debit card?
Your debit card will be ready to use on 1/1/2026.
WSP Reimbursement Portal
How do I login to the WSP Reimbursement Portal?
Go to the Login Page and enter your Username and password
under the “Existing Users” section
Username: Email Address
Temporary Password: First Name initial + Last Name + DOB (ddmmyy). Initial and last name needs to be in all CAPITAL LETTERS.
Example: John Doe October 24, 1972, would be JDOE241072
Click Next
Is there a Mobile App?
Yes, you can download the Mobile App by searching “PCMI HSA/FSA Savings Account” in the app store. It is available for both Android and Apple phones.
You can also access the app by clicking here for Apple phones and here for Android phones.
For a Mobile App Guide, please refer to the Resources tab.
Resources
Welcome Flyer
Program Flyer
Portal Quickstart Guide
Reimbursement Form
Mobile Guide
Acceptable Documentation
Reimbursement Portal Quick Guide
Want to know more? Reach out.
If you have any further questions or need more information about WSP, please contact the plan administrator, Pinnacle Claims Management, at 833-545-7277.
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