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Indicate the item number to which they pertain. Include a Doctors note when required. Consult the FLEX Handbook for items requiring a Doctor s note. www. pehp.org. The first orthodontia claim must include a copy of the written agreement between you and the orthodontist indicating the total estimated charges and the period of treatment. I also certify that these expenses have not and will not be claimed for reimbursement under any other Flexible Spending Plan insurance plan paid for using your...

How to fill out pehp flex form

How to fill out PEHP Flex:

1. Start by reviewing the enrollment materials provided by PEHP (Public Employees' Health Program). It should include a detailed explanation of the PEHP Flex program and its benefits.
2. Determine if you are eligible for PEHP Flex. Typically, PEHP Flex is available to Utah state employees, public education employees, and their eligible dependents. Make sure you meet the eligibility criteria before proceeding with the enrollment process.
3. Gather all the necessary information and documentation. This may include your Social Security Number, date of birth, dependent information, and any other pertinent details required for enrollment.
4. Access the PEHP website or login to your PEHP member account if you already have one. Look for the enrollment section or forms specifically related to PEHP Flex.
5. Fill out the required forms accurately and completely. Provide all the requested information, ensuring that you understand each section before proceeding. Double-check for any errors or missing information to avoid unnecessary delays in the enrollment process.
6. Review the coverage options available under the PEHP Flex program. This may include different health insurance plans, dental coverage, vision coverage, and other benefits. Select the options that best suit your needs and preferences.
7. Consider any additional coverage or services offered by PEHP Flex, such as flexible spending accounts (FSA) or health savings accounts (HSA). Familiarize yourself with the requirements and advantages of such programs to determine if they align with your healthcare and financial goals.
8. Once you have completed the enrollment forms, carefully review them one more time to ensure accuracy. Make copies of all the forms and supporting documents for your records.
9. Submit your completed forms and any required documentation as instructed by PEHP. This may involve mailing the documents to a specific address or electronically submitting them through the PEHP online portal.
10. Keep track of your enrollment progress. Check for any notifications or updates from PEHP regarding the status of your enrollment. If you encounter any issues or have questions, contact PEHP directly for assistance.

Who needs PEHP Flex?

1. State employees: PEHP Flex is designed to serve Utah state employees and offer them a range of health insurance options and benefits. It can be beneficial for those looking for comprehensive coverage and competitive rates.
2. Public education employees: PEHP Flex extends its coverage to public education employees, including teachers, administrators, and staff members. It provides an opportunity for these individuals to access quality healthcare services and tailored insurance plans.
3. Eligible dependents: PEHP Flex allows eligible dependents of state employees and public education employees to also benefit from the program's health insurance coverage, dental plans, vision benefits, and other associated services.

Note: It is essential to review the specific eligibility criteria outlined by PEHP to determine if you qualify for PEHP Flex.

Video instructions and help with filling out and completing pehp flex

Instructions and Help about pehp flex form

PEP FLEX is a flexible spending account that saves you money by setting aside a portion of your pre-tax salary to pay eligible expenses. There are two different FLEX accounts — one for medical expenses and another to help with dependent childcare costs — and each has important rules to keep in mind when using the benefit. There are two variations of PEP FLEX for medical expenses — some employers offer a ×500 rollovers, which allows you to move some unused funds into the next plan year. The other option offers a 75-day grace period by which all remaining funds must be used, or they will be lost. It’s important to know which account you have and the deadline by which expenses must be incurred, so you don’t risk losing money you don’t spend. If you’re not sure which version you have, ask your employee benefits manager. Are you on The STAR Plan or currently have an HSA? If you have a Health Savings Account, you cannot have a FLEX account for medical expenses. You can, however, take advantage of a Limited FLEX account to help cover dental and vision expenses, and you can have a FLEX account for dependent daycare. The IRS limits the amount of pre-tax money you can put into your FLEX account during a plan year. You can contribute up to a yearly limit for healthcare expenses, which is available to use immediately at the start of the plan year. Among the most common items that qualify for reimbursement: Co-payments, Contact lenses, eyeglasses, orthodontia, prescription drugs and more. Your family can set aside as much as $5,000 for childcare expenses, which accrues through evenly distributed contributions throughout the plan year. You must submit claim forms to receive dependent care reimbursement. You cannot use your FLEX account as a debit card for childcare expenses.

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What is pehp flex?

PEHP Flex is a flexible spending account program that allows employees to set aside pre-tax dollars to pay for eligible out-of-pocket medical expenses.

Who is required to file pehp flex?

Employees who wish to participate in the PEHP Flex program are required to file and submit the necessary paperwork.

How to fill out pehp flex?

Employees can fill out the PEHP Flex forms provided by their employer and submit them according to the instructions provided.

What is the purpose of pehp flex?

The purpose of PEHP Flex is to help employees save money on eligible medical expenses by allowing them to use pre-tax dollars.

What information must be reported on pehp flex?

Employees must report their planned contribution amounts, eligible expenses, and other necessary information as required by the program.