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Flexible Spending Account (FSA) Sourcebook 20182019 Plan YearA10323 (3/2018)1Contents Flexible Spending Account (FSA) Overview. . . . . . . . . . . . . . . . . 1 Sign Up and Save with an Anthem FSA.
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How to fill out flexible spending account fsa

01
To fill out a flexible spending account (FSA), follow these steps:
02
Determine your eligible expenses: FSA funds can be used for approved medical, dental, vision, and dependent care expenses. Make a list of expenses that qualify under your FSA plan.
03
Estimate your annual expenses: Calculate how much you expect to spend on eligible expenses throughout the year. This will help you decide on the contribution amount to set aside in your FSA.
04
Enroll in an FSA plan: Sign up for an FSA plan offered by your employer during the open enrollment period. Provide all the required information and select the contribution amount you wish to allocate.
05
Start using your FSA funds: Once your FSA plan is active, you can start using the funds for eligible expenses. Keep track of your expenses and save all the receipts for documentation purposes.
06
Submit reimbursement claims: Some FSA plans offer a debit card for easy access to funds, while others require you to submit reimbursement claims manually. Follow the instructions provided by your FSA administrator to submit claims and receive reimbursement for your expenses.
07
Stay within the deadline: FSA funds are subject to a 'use-it-or-lose-it' rule, where any unused funds may be forfeited at the end of the plan year. Be mindful of the deadline to ensure you utilize all of your FSA funds.
08
Review your plan details: Familiarize yourself with the specific rules and guidelines of your FSA plan. Understand the eligible expenses, claim submission process, and any restrictions or limitations that may apply.
09
Keep records: Maintain accurate records of your FSA transactions and receipts for future reference or potential audits.
10
By following these steps, you can successfully fill out a flexible spending account (FSA).

Who needs flexible spending account fsa?

01
Flexible spending accounts (FSAs) are beneficial for individuals or families who anticipate high healthcare or dependent care expenses throughout the year. It can be especially useful for:
02
- Employees with predictable medical expenses like prescription medications, co-pays, and deductibles.
03
- Individuals planning for elective surgeries or dental procedures.
04
- Parents who require child or dependent care services.
05
- Persons with ongoing medical treatments, such as chronic conditions or therapy sessions.
06
- Those with vision care needs, including eyeglasses, contact lenses, and eye exams.
07
FSAs offer a tax advantage by allowing pre-tax contributions, reducing your taxable income. By estimating your expenses accurately, an FSA can help you save money on out-of-pocket costs for eligible medical, dental, vision, and dependent care expenses.
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A Flexible Spending Account (FSA) is a benefit program that allows employees to set aside a portion of their pre-tax earnings to pay for eligible expenses.
Employees who wish to take advantage of the FSA benefit offered by their employer are required to file for a Flexible Spending Account.
To fill out a Flexible Spending Account, employees must provide information about their estimated eligible expenses for the plan year and set aside the desired amount of pre-tax earnings.
The purpose of a Flexible Spending Account is to help employees save money on eligible healthcare or dependent care expenses by using pre-tax dollars.
Employees must report their estimated eligible expenses for the plan year and the amount of pre-tax earnings they wish to set aside for the FSA.
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