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All products and services are provided exclusively by such operating subsidiaries and not by Cigna Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company CGLIC Cigna Health and Life Insurance Company CHLIC and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health Inc. Cat. 589114f Rev. 07/2012. DATE S 15. AMOUNT BC Total 16. CAREGIVER NAME i.e. Day Care Facility Name 17. CAREGIVER ADDRESS 18. If you still have questions...
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Step 1: Gather all the necessary documents such as birth certificates, social security numbers, and tax identification numbers.
02
Step 2: Determine your eligibility for dependent child/adult care flexible spending account.
03
Step 3: Review the maximum contribution limit for the account and decide how much you want to contribute.
04
Step 4: Fill out the enrollment form provided by your employer or the relevant institution.
05
Step 5: Provide accurate information about your dependent(s) including their names, ages, and relationship to you.
06
Step 6: Specify the type of care needed for your dependent(s) and the associated costs.
07
Step 7: Submit the completed enrollment form along with any supporting documents.
08
Step 8: Keep track of your eligible expenses and make sure to use the funds within the allocated time period.
09
Step 9: Re-evaluate your contribution amount annually or as needed based on changes in your dependent care needs.
10
Step 10: Consult with a tax professional or refer to IRS guidelines for any specific tax implications related to your dependent child/adult care flexible spending account.

Who needs dependent childadult care flexible?

01
Working parents with dependent children who require care.
02
Adults with dependent elderly parents or relatives who need assistance with their care.
03
Individuals who are responsible for the financial support of their dependent child/adult's care.
04
Those who anticipate incurring eligible dependent care expenses and want to reduce their taxable income.
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Dependent child/adult care flexible spending account (FSA) allows employees to set aside pre-tax dollars to pay for eligible dependent care expenses.
Employees who have eligible dependent care expenses and wish to save money on taxes are required to file for dependent child/adult care flexible spending account (FSA).
To fill out dependent child/adult care flexible spending account (FSA), employees need to estimate their dependent care expenses for the year and enroll in the FSA during their employer's open enrollment period.
The purpose of dependent child/adult care flexible spending account (FSA) is to help employees save money on taxes by setting aside pre-tax dollars to pay for eligible dependent care expenses.
Employees must report their estimated dependent care expenses for the year and provide any required documentation to support their claims.
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