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..... Bakelite FLEXIBLE SPENDING ENROLLMENT FORM p CountyMemorial Hospital STREET ADDRESS ZIP CODE EFF DATE ... 9/30/2010

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What is fayelite flexible spending enrollment?

Fayelite flexible spending enrollment is a program that allows employees to set aside a portion of their pre-tax income to pay for eligible medical expenses.

Who is required to file fayelite flexible spending enrollment?

All employees who want to participate in the program are required to file fayelite flexible spending enrollment.

How to fill out fayelite flexible spending enrollment?

Employees can fill out the enrollment form provided by their employer and indicate the amount they want to contribute to the flexible spending account.

What is the purpose of fayelite flexible spending enrollment?

The purpose of fayelite flexible spending enrollment is to help employees save money on out-of-pocket medical expenses by using pre-tax dollars.

What information must be reported on fayelite flexible spending enrollment?

Employees must report their desired contribution amount and any dependents they plan to cover with the flexible spending account.

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