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FLEXIBLE BENEFITS PLAN ANNUAL ENROLLMENT FORM Plan Year 2016 (January 1, 2016December 31, 2016) Section 125 of the Internal Revenue Code establishes the opportunity for employees to pay certain eligible
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How to fill out flexible spending accounts

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How to fill out flexible spending accounts:

01
Determine your eligibility: Before filling out a flexible spending account (FSA), you need to check if you are eligible. Generally, FSAs are offered by employers as part of their employee benefits package. Speak to your HR department or refer to your benefits documents to confirm your eligibility.
02
Review plan rules and limits: Familiarize yourself with the rules and limits of your FSA. Different plans have different rules regarding the types of expenses that qualify for reimbursement and the maximum contribution limits. Understanding these rules will help you make informed decisions when filling out your FSA.
03
Estimate your yearly expenses: Take some time to estimate your expected yearly medical, dental, and dependent care expenses. This will help you determine how much to contribute to your FSA. Keep in mind that any funds contributed but not utilized within the plan year are typically forfeited, so it's essential to estimate your expenses conservatively.
04
Complete enrollment paperwork: Obtain the necessary FSA enrollment forms from your employer or benefits administrator. Fill out the forms accurately, providing all the required information such as your name, address, social security number, and chosen contribution amount. Be attentive to deadlines, as missing the enrollment period may result in you being unable to participate in the FSA for that plan year.
05
Decide on contribution amount: Based on your estimated expenses, decide on the amount you want to contribute to your FSA. Remember that contributions to FSAs are made on a pre-tax basis, meaning they are deducted from your paycheck before taxes are applied. This can result in significant tax savings, so consider maximizing your contributions if possible.
06
Submit the enrollment forms: Once you have completed the necessary paperwork and decided on your contribution amount, submit the forms to your employer or benefits administrator. Make sure to keep a copy for your records.

Who needs flexible spending accounts:

01
Employees with high medical expenses: Flexible spending accounts can be particularly beneficial for individuals or families with high medical expenses. If you have ongoing medical conditions, require regular prescription medications, or anticipate upcoming medical procedures, an FSA can help you save money on these expenses by allowing you to pay for them with pre-tax dollars.
02
Parents with dependent care expenses: Parents who require daycare or have other dependent care expenses can also benefit from FSAs. By contributing to a dependent care FSA, you can use pre-tax dollars to pay for eligible child or dependent care expenses, such as daycare centers, summer camps, or after-school programs.
03
Individuals looking to save on taxes: One of the primary advantages of flexible spending accounts is the potential tax savings they offer. By contributing to an FSA, you can lower your taxable income and therefore reduce the amount of income tax you have to pay. This can be especially advantageous for individuals in higher tax brackets.
04
Employees looking to budget for healthcare costs: FSAs provide employees with a way to set aside funds specifically for healthcare expenses. By contributing a predetermined amount to an FSA, you can budget for medical, dental, and other eligible expenses throughout the year, knowing that you have allocated funds available.
Note: It's important to consult with a financial advisor or benefits specialist to fully understand the specific guidelines and regulations of your FSA, as they may vary depending on your employer and plan.
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Flexible spending accounts (FSAs) are tax-advantaged financial accounts set up by employers that allow employees to contribute a portion of their pre-tax earnings to cover eligible medical expenses.
Employees who want to take advantage of the tax benefits associated with flexible spending accounts are required to contribute funds to these accounts.
To fill out flexible spending accounts, employees need to designate a specific amount of their pre-tax earnings to be deducted from their paychecks and deposited into the FSA.
The purpose of flexible spending accounts is to help individuals save money on eligible medical expenses by allowing them to use pre-tax dollars to pay for these costs.
Employees must report the amount of pre-tax earnings they contributed to the FSA, as well as any eligible medical expenses they have incurred and paid for using FSA funds.
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