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Kentucky Employees Health Plan Department of Employee Insurance Keep.KY.gov 1.888.581.88342018 FLEXIBLE SPENDING ACCOUNT (FSA) ENROLLMENT/CHANGE APPLICATION Section 1: To Be Completed by IC/HOG IN
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What is 2018 FLEXIBLE SPENDING ACCOUNT (FSA) ENROLLMENT/CHANGE APPLICATION Form?

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A flexible spending account (FSA) is a tax-advantaged financial account that allows employees to set aside a portion of their earnings to pay for qualified expenses, such as medical costs or dependent care expenses.
Employees who are offered a flexible spending account (FSA) benefit by their employer may choose to participate in the program.
To fill out a flexible spending account (FSA), employees typically need to complete enrollment forms provided by their employer and designate the desired contribution amount.
The purpose of a flexible spending account (FSA) is to help employees save money by setting aside pre-tax dollars to cover eligible expenses not covered by their insurance.
Flexible spending account (FSA) reports typically include information on contributions, withdrawals, and eligible expenses incurred by the account holder.
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