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Section 125 Premium Only/Flexible Spending Account Employee Election Form An independent licensee of the Blue Cross and Blue Shield Association. P.O. Box 98025, Baton Rouge, La. 70898 www.ezflexplan.com/bcbsla

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What is new flex enrollment?

New flex enrollment is a process that allows individuals to make changes to their flexible spending account elections mid-year.

Who is required to file new flex enrollment?

Employees who wish to make changes to their flexible spending account elections are required to file new flex enrollment.

How to fill out new flex enrollment?

To fill out new flex enrollment, individuals need to contact their HR department or benefits administrator for the necessary forms and instructions.

What is the purpose of new flex enrollment?

The purpose of new flex enrollment is to allow individuals to adjust their flexible spending account elections to better fit their current financial needs.

What information must be reported on new flex enrollment?

On new flex enrollment, individuals must report changes to their flexible spending account elections, such as contribution amounts or eligible expenses.

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