Get the free Conexis Dependent Care FSA Form - HR@depaul.edu

Request for Reimbursement Dependent Care Flexible Spending Account What to Do 1. Complete all details on the next page. Or if you prefer, submit an electronic claim through your online account at

How to fill out conexis dependent care fsa

How to fill out Conexis Dependent Care FSA:

1. Gather necessary information: Before filling out the Conexis Dependent Care FSA form, make sure you have the required information handy. This includes your personal details, such as your name, address, and Social Security number, as well as information about your dependent and the childcare provider.
2. Understand eligible expenses: Familiarize yourself with the expenses that qualify for reimbursement through the Conexis Dependent Care FSA. These typically include daycare fees, summer day camps, before and after-school programs, and some elder care expenses. Review the official guidelines or contact Conexis for a comprehensive list of eligible expenses.
3. Determine contribution amount: Decide how much you want to contribute to your Dependent Care FSA. Keep in mind that the maximum annual contribution limit is set by the IRS and may change each year. Consider your anticipated childcare expenses and choose an amount that aligns with your needs.
4. Submit enrollment form: Obtain the enrollment form for the Conexis Dependent Care FSA from your employer or the Conexis website. Fill out the form accurately and completely, providing all necessary information. Double-check for any errors or missing information before submitting the form.
5. Save receipts and documentation: Once your FSA is active, remember to save all relevant receipts and documentation for eligible expenses. These will be required when submitting claims for reimbursement. Keep these documents organized and easily accessible throughout the year.

Who needs Conexis Dependent Care FSA:

1. Working parents: Conexis Dependent Care FSA is particularly beneficial for working parents who require childcare services for their children while they work. It helps ease the financial burden by allowing pre-tax contributions to cover eligible childcare expenses.
2. Parents with eligible dependents: If you have dependents who qualify for the Conexis Dependent Care FSA, such as children under the age of 13 or disabled dependents of any age, this account can assist in offsetting the cost of qualified care services.
3. Individuals with eligible care expenses: Besides parents, individuals who have eligible care expenses for other dependents, such as elderly parents or disabled family members, may also find the Conexis Dependent Care FSA useful in managing these costs.

Note: It is always recommended to consult with a tax advisor or Conexis representative for personalized guidance and accurate information regarding the Conexis Dependent Care FSA.

For pdfFiller’s FAQs

What is conexis dependent care fsa?

Conexis Dependent Care FSA is a flexible spending account that allows employees to set aside pre-tax dollars to cover eligible dependent care expenses.

Who is required to file conexis dependent care fsa?

Employees who have eligible dependents and wish to use pre-tax dollars for dependent care expenses are required to enroll in conexis dependent care FSA.

How to fill out conexis dependent care fsa?

To fill out conexis dependent care FSA, employees need to enroll during their employer's open enrollment period and elect an amount to contribute from their paycheck on a pre-tax basis.

What is the purpose of conexis dependent care fsa?

The purpose of conexis dependent care FSA is to help employees save money on eligible dependent care expenses by using pre-tax dollars.

What information must be reported on conexis dependent care fsa?

Employees must report their eligible dependents, the amount they wish to contribute to the FSA, and any eligible dependent care expenses incurred.

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