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UNISYS Flexible Spending Account Health Care Request for BenefitsInstructions 1. A new request for benefits form must be completed every time you request benefits. 2. Answer all questions completely.
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A flexible spending account health is a special account where you can set aside pre-tax dollars to pay for eligible health care expenses.
Employees who enroll in a flexible spending account health plan are required to file for it.
You can fill out a flexible spending account health form provided by your employer and submit it along with any required documentation.
The purpose of a flexible spending account health is to help individuals save money on out-of-pocket health care expenses by using tax-free dollars.
You must report any eligible health care expenses that you paid for using funds from your flexible spending account health.
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