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Smart About Benefits CHANGE IN STATUS FORM Please use this form for all FSA changes in status requests and terminations. Please complete entire form. Name of Employer Charlotte Public Schools SS Changes for Health Care Account or Dependent Care Account Change in Employee s Legal Marital Status Please circle Marriage Divorce Legal Separation Death Change in Number of Employee s Dependents Birth Adoption No longer IRS dependent Termination Retired Change in hours part time Layoff Change in...

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What is smart about benefits?

Smart about benefits refers to a program that helps individuals make informed decisions about their benefits and understand how to maximize them.

Who is required to file smart about benefits?

Individuals who are eligible for benefits through their employer or government programs may be required to file smart about benefits.

How to fill out smart about benefits?

Smart about benefits can be filled out online through a secure portal or by speaking with a benefits counselor for assistance.

What is the purpose of smart about benefits?

The purpose of smart about benefits is to ensure individuals are aware of all available benefits and how they can best utilize them.

What information must be reported on smart about benefits?

Information such as income, household size, and current benefits received must be reported on smart about benefits.

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