Get the free PEBB Dependent Care Assistance Program (DCAP) Flexible Spending Account Enrollment F...

This form is used for enrolling in the Dependent Care Assistance Program (DCAP) Flexible Spending Account for active employees for the 2009 plan year.

How to fill out pebb dependent care assistance

How to fill out PEBB Dependent Care Assistance Program (DCAP) Flexible Spending Account Enrollment Form

1. Obtain the PEBB DCAP Flexible Spending Account Enrollment Form from the appropriate website or human resources.
2. Read the instructions carefully to understand the eligibility requirements and the services covered.
3. Fill in your personal information, including your name, address, and employee ID.
4. Indicate the annual contribution amount you wish to allocate to the DCAP account.
5. Provide details about your dependent(s), including their names, birth dates, and relationship to you.
6. Review the terms and conditions of the program and sign the form to certify the information is correct.
7. Submit the completed form to your employer's benefits office before the enrollment deadline.

Who needs PEBB Dependent Care Assistance Program (DCAP) Flexible Spending Account Enrollment Form?

1. Employees enrolled in the PEBB benefits plan who have dependents requiring care while they work.
2. Individuals who want to save on taxes for eligible dependent care expenses.
3. Parents or guardians of children under the age of 13 or individuals who are physically or mentally incapable of self-care.

People Also Ask about

Can I use my FSA for my child who is not on my insurance?

You cannot use ``FSA'' to process payments for scheme-approved purchases for someone other than yourself, your spouse, or your dependent for Federal tax purposes.

Who is eligible for dependent care flexible spending account?

The 2025 FSA limits are $3,300 per FSA. Qualifying individuals: DC-FSAs are for dependents who require care, typically children under the age of 13 or adults who can't care for themselves.

Who is a qualifying person for dependent care expenses?

A qualifying individual for the child and dependent care credit is: Your dependent qualifying child who was under age 13 when the care was provided, Your spouse who was physically or mentally incapable of self-care and lived with you for more than half of the year, or.

Can I use FSA for a child over 26?

This means that you may submit eligible expenses for reimbursement under your FSA plan for services incurred by your children up to age 26. Dependants that will turn 26 during this tax year are not eligible. Your dependant may be married and is not required to live with you, attend school or be a tax dependent.

Who qualifies for FSA dependent care?

The money in your FSA can only be used for expenses for: A dependent who is younger than 13. A spouse who is unable to work and care for themselves. Another adult dependent who is unable to care for themselves and for whom you claim the dependent exemption on your taxes8.

What is the PEBB dependent care assistance program?

DCAP reimburses qualified dependent care expenses so you and your spouse (if married) can attend school or work, or look for work. If you have a stay-at-home spouse, you cannot enroll in the DCAP. Eligible expenses include babysitting, daycare, prekindergarten, and registration fees (see our eligible expenses list).

Is a dependent care flexible spending account worth it?

FSA wins easily. Taking dependent care tax credit alone would give you $1200 in tax savings (20% x $6000), and that is all. The dependent care FSA will give you federal tax savings of $1100 (22% x $5000) plus you will save an additional $200 from the remaining $1000 tax credit (20% x $1000).

How do I use my DCAP funds?

You pay the expense and then submit a receipt to be reimbursed out of your DCFSA/DCAP account for what you spent. To file a claim, you'll need the following: Request for Reimbursement (claim form) Dependent's name and date of birth.

For pdfFiller’s FAQs

What is PEBB Dependent Care Assistance Program (DCAP) Flexible Spending Account Enrollment Form?

The PEBB Dependent Care Assistance Program (DCAP) Flexible Spending Account Enrollment Form is a document that allows employees to enroll in a flexible spending account designed to reimburse eligible dependent care expenses using pre-tax dollars.

Who is required to file PEBB Dependent Care Assistance Program (DCAP) Flexible Spending Account Enrollment Form?

Employees who wish to participate in the PEBB DCAP Flexible Spending Account and wish to take advantage of dependent care reimbursement benefits are required to file this enrollment form.

How to fill out PEBB Dependent Care Assistance Program (DCAP) Flexible Spending Account Enrollment Form?

To fill out the PEBB DCAP Flexible Spending Account Enrollment Form, employees need to provide their personal information, such as name and contact details, along with details of their eligible dependents and the amount they wish to contribute towards the dependent care expenses.

What is the purpose of PEBB Dependent Care Assistance Program (DCAP) Flexible Spending Account Enrollment Form?

The purpose of the PEBB DCAP Flexible Spending Account Enrollment Form is to facilitate the enrollment process for employees who want to set aside pre-tax dollars to pay for eligible dependent care expenses, thus lowering their taxable income.

What information must be reported on PEBB Dependent Care Assistance Program (DCAP) Flexible Spending Account Enrollment Form?

The PEBB DCAP Flexible Spending Account Enrollment Form must report information including the employee's personal identification, dependent details (such as names and ages of dependents), intended contribution amounts, and any relevant tax documents related to the dependents.