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Get the free Washington State Medical FSA & DCAP Open Enrollment Form

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What is WA FSA DCAP Form

The Washington State Medical FSA & DCAP Open Enrollment Form is a payroll document used by state employees to enroll in the Medical Flexible Spending Arrangement (FSA) and Dependent Care Assistance Program (DCAP) for the 2016 plan year.

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WA FSA DCAP Form is needed by:
  • Washington state employees seeking health benefits
  • Individuals enrolling in Flexible Spending Arrangements
  • Participants of the Dependent Care Assistance Program
  • HR professionals managing employee benefits
  • Financial planners assisting clients with tax-saving options

How to fill out the WA FSA DCAP Form

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    To access the Washington State Medical FSA & DCAP Open Enrollment Form on pdfFiller, visit the platform and search for the form by its name.
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    Once you locate the form, click on it to open in the pdfFiller editor.
  3. 3.
    Before starting, gather necessary information such as personal details, dependent names, and chosen benefit elections.
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    Begin filling out the form by clicking on the fields where you need to provide information.
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FAQs

If you can't find what you're looking for, please contact us anytime!
This form is intended for Washington State employees who wish to enroll in the Medical Flexible Spending Arrangement (FSA) and Dependent Care Assistance Program (DCAP).
The completed form must be submitted by November 30, 2015, to ensure enrollment for the 2016 plan year.
You can submit the completed Washington State Medical FSA & DCAP Open Enrollment Form directly through pdfFiller or print and send it to your HR department according to their instructions.
Typically, you may need to provide proof of your dependents, such as birth certificates or tax documents. However, check with your HR department for any specific requirements.
Ensure all personal information is accurate, double-check the benefit elections, and remember to include your signature where required to avoid processing delays.
Processing times may vary depending on your HR department's workload but typically can take a few weeks. It's best to follow up with HR after submission.
Changes to your election may be allowed during the open enrollment period. Consult your HR policies or plan documents for specific guidance on making changes.
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