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Step 3 Enrollment and Election Information Plan Type if enrolled in an HSA you are not eligible to enroll in the Medical FSA Medical FSA. Flexible Spending Account FSA Data Collection Worksheet Please complete and submit this worksheet to your employer. This is an internal document used by your employer for data collection purposes. Worksheets submitted to Discovery Benefits will not be processed. Required Fields Step 1 Participant Information Employer Name Do not abbreviate Employee...

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