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HUMAN RESOURCE SERVICES DIVISION Employee Benefits Operations P 619.725.8130 – 619.725.8132 2013 FLEXIBLE SPENDING ELECTION FORM Important Note: If you would like a copy for your records, please
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How to fill out 2013 flexible spending election

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How to fill out 2013 flexible spending election:

01
Obtain the necessary forms: Contact your employer or human resources department to obtain the required forms for the 2013 flexible spending election. These forms may include a brief explanation of flexible spending accounts and details on how to complete the election.
02
Review the eligibility criteria: Before proceeding with the election, ensure that you meet the eligibility criteria set by your employer or the plan administrator. This may include being a full-time employee or meeting certain employment duration requirements.
03
Understand the contribution limits: Familiarize yourself with the contribution limits for the 2013 flexible spending election. These limits determine the maximum amount you can contribute to your flexible spending account for the year. Note that these limits may be subject to change, so stay informed.
04
Determine the desired contribution amount: Decide how much money you would like to contribute to your flexible spending account for the year. Consider your anticipated eligible expenses, such as medical or dependent care costs, and select an amount that aligns with your needs. Remember that unused funds may be forfeited at the end of the year, so it's important to estimate your expenses carefully.
05
Complete the election form: Fill out the required information on the election form accurately and legibly. Double-check the form for any errors or missing information before submitting it. Include all necessary details, such as your name, employee ID, desired contribution amount, and any additional information requested.
06
Submit the form within the designated timeline: Be aware of the deadline for submitting the completed election form. Ensure that you submit it within the specified timeline to ensure your participation in the 2013 flexible spending election.

Who needs 2013 flexible spending election?

01
Employees who anticipate qualifying medical expenses: The 2013 flexible spending election is beneficial for individuals who expect to incur eligible medical expenses throughout the year. By contributing pre-tax dollars to a flexible spending account, they can save money by reducing their taxable income.
02
Individuals with childcare or dependent care expenses: Those who require childcare services or have dependent care expenses may also benefit from the 2013 flexible spending election. By contributing money to a dependent care flexible spending account, they can use pre-tax dollars to pay for eligible expenses, reducing their overall childcare costs.
03
Employees seeking to maximize their healthcare savings: The 2013 flexible spending election is an opportunity for individuals to potentially maximize their healthcare savings. By taking advantage of the tax advantages offered by flexible spending accounts, they can offset expenses and reduce their overall healthcare costs.
Remember to consult with your employer or the plan administrator for specific details about the 2013 flexible spending election, as policies and procedures may vary.
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Flexible spending election form is a document that allows employees to make decisions about setting aside pre-tax dollars to pay for eligible expenses, such as medical expenses or dependent care expenses.
Employees who wish to participate in a flexible spending account (FSA) program offered by their employer are required to file a flexible spending election form.
To fill out a flexible spending election form, employees need to provide their personal information, indicate the dollar amount they wish to contribute to their FSA, and choose the type of expenses they want to use the funds for (e.g., medical expenses, dependent care expenses).
The purpose of a flexible spending election form is to determine the employee's desired contribution amount to their FSA and designate the eligible expenses they plan to use the funds for.
The flexible spending election form requires the employee's personal information (such as name, address, and Social Security number), chosen contribution amount, and selection of eligible expense categories.
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