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Flexible Spending Account Health Care Reimbursement Mail or fax completed form and documentation to: Aetna Inc. PO Box 4000 Richmond, KY 40476-4000 Fax to: 1-888-238-3539 (1-888-AET-FLEX) 1-800-938-0512
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Employer Information Employer FSA ID or Crew Number Employer s Last Name First MI Daytime Telephone Number (Street Address City State) Zip Code 3.

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Aetna Health Care FSA is a flexible spending account offered by Aetna, a health insurance company, which allows participants to set aside pre-tax funds to pay for eligible healthcare expenses.
Any individual or employee who is eligible for Aetna Health Care FSA can choose to participate and file the account.
To fill out Aetna Health Care FSA, participants need to contribute a portion of their salary to the account through pre-tax deductions. They can use these funds to pay for eligible healthcare expenses.
The purpose of Aetna Health Care FSA is to provide individuals with a tax-advantaged way to save and pay for qualified medical expenses.
Typically, participants need to report their contributions, withdrawals, and eligible expenses incurred during the plan year on Aetna Health Care FSA.
The deadline to file Aetna Health Care FSA for the year 2023 is usually determined by the plan administrator and may vary. It is recommended to consult the specific plan details or contact Aetna for the exact deadline.
The penalty for the late filing of Aetna Health Care FSA may also vary depending on the plan rules and guidelines. It is advisable to review the plan documents or consult with Aetna for information regarding any penalties for late filing.
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