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Get the free Flexible spending account election form - Hanover County Homepage - co hanover va

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FLEXIBLE SPENDING ACCOUNT ELECTION FORM EMPLOYER: HANOVER COUNTY CAFETERIA PLAN YEAR: 2013 Check One: Government Employee Monkey Regional Jail Employee SOCIAL SECURITY NUMBER: NAME: (Last) ADDRESS:
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A flexible spending account election is a decision made by an employee to contribute a certain amount of pre-tax income to a designated account for eligible healthcare or dependent care expenses.
Any employee who is eligible for a flexible spending account and wishes to participate must file a flexible spending account election.
To fill out a flexible spending account election, employees typically need to complete a form provided by their employer. The form will require information such as the desired contribution amount and the type of expenses to be covered.
The purpose of a flexible spending account election is to allow employees to set aside pre-tax income for eligible expenses, reducing their taxable income and potentially saving them money.
A flexible spending account election typically requires the employee to report their desired contribution amount, the coverage period, the types of eligible expenses, and any other relevant information specified by the employer.
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