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Get the free 2014 Section 125/Flex Spending Enrollment Form - Iowa County - iowacounty

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IOWA COUNTY Enrollment Form ? ? After completing this form, please sign, date, and return to your HR Department. ? If you have questions, please contact your Human Resource representative or contact
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Section 125flex spending enrollment allows employees to set aside pre-tax dollars to pay for eligible expenses such as medical, dental, and vision care.
Employees who wish to participate in a flexible spending account (FSA) under Section 125 of the Internal Revenue Code are required to file section 125flex spending enrollment.
Employees can fill out section 125flex spending enrollment forms provided by their employer during open enrollment period. They must choose the amount they wish to contribute and select eligible expenses.
The purpose of section 125flex spending enrollment is to allow employees to save money on taxes by contributing pre-tax dollars to a flexible spending account for qualified medical expenses.
Employees must report their chosen annual contribution amount, eligible expenses they plan to use the funds for, and any other required information as specified by their employer.
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