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Office use only FSA Open Enrollment Oct. 1 Oct. 31, 2017Approved by:FSA 2018 Corrections (see dates below)Effective date:Approved date:Submit this completed form to WEBB. All 2017 FSA accounts terminate
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How to fill out fsa open enrollment

01
Step 1: Gather necessary information and documents such as employee ID, social security number, and dependent information.
02
Step 2: Access the FSA open enrollment portal or contact your employer's HR department to request the necessary forms.
03
Step 3: Fill out the forms accurately and completely, providing all required information including electing the desired FSA contribution amount.
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Step 4: Review the terms and conditions of the FSA program, including any eligible expenses and deadlines.
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Step 5: Submit the completed forms either online or in-person as instructed by your employer.
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Step 6: Verify the successful enrollment by receiving a confirmation email or document from your employer.
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Step 7: Keep a copy of the submitted forms for your records and for future reference.

Who needs fsa open enrollment?

01
Employees who want to take advantage of tax-free savings for qualified medical expenses.
02
Employers who offer flexible spending accounts (FSAs) as part of their employee benefits package.
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Those who anticipate having significant medical expenses and want to set aside pre-tax dollars to pay for them.
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Individuals who want to reduce their taxable income by contributing to an FSA.
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FSA open enrollment is a period of time during which employees can elect or change their Flexible Spending Account (FSA) contributions for the upcoming plan year.
All employees who want to participate in a Flexible Spending Account (FSA) or make changes to their current contributions are required to file FSA open enrollment.
Employees can fill out FSA open enrollment forms online through their employer's benefits portal or by completing paper forms provided by the HR department.
The purpose of FSA open enrollment is to allow employees to make decisions about their FSA contributions for the upcoming plan year, including how much money to allocate for medical expenses.
Employees must report the amount of money they want to contribute to their Flexible Spending Account (FSA) for the upcoming plan year, as well as any changes to their dependent care FSA contributions.
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