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MEDICAL FLEXIBLE SPENDING PROGRAM (MEDLEY) OPEN ENROLLMENT PLAN YEAR 2019 MEDFLEXOffice of the State Comptroller Healthcare Policy & Benefit Services DivisionEMPLOYEE INFORMATIONCO1306 (Rev. 8/2018)
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How to fill out medical flexible spending program

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How to fill out medical flexible spending program

01
Gather all necessary documents, such as receipts and proof of medical expenses.
02
Review the guidelines provided by your employer or the program administrator to understand what expenses are eligible for reimbursement.
03
Fill out the enrollment form for the medical flexible spending program, which may require personal information and details about your employer.
04
Determine the contribution amount you want to allocate towards the program. This will be deducted from your pre-tax salary.
05
Submit the enrollment form and any supporting documents to the program administrator or follow the online submission process, if available.
06
Keep track of your medical expenses throughout the year by saving receipts and other relevant documentation.
07
When you incur a qualified medical expense, submit a reimbursement request form with the program administrator along with the necessary documentation.
08
Await approval and processing of your reimbursement request. Typically, it takes a few days to a few weeks for the funds to be reimbursed.
09
Regularly review your account balance and any remaining funds that need to be utilized before the end of the plan year.
10
Before the plan year ends, consider any eligible expenses that you may have missed and submit reimbursement claims, if applicable.
11
At the end of the plan year, review the usage of funds and any rollover or carryover options provided by the program.
12
Make any necessary adjustments for the upcoming plan year, such as updating your contribution amount or considering changes in healthcare needs.

Who needs medical flexible spending program?

01
Anyone who incurs medical expenses on a regular basis can benefit from a medical flexible spending program.
02
Employees who have access to such programs through their employers can utilize them to pay for various healthcare expenses with pre-tax dollars.
03
Individuals with chronic conditions, regular prescription medications, ongoing treatments, or anticipated healthcare expenses throughout the year can make the most of these programs.
04
Families with dependents who require medical care or therapy can also benefit from the flexibility and cost savings provided by medical flexible spending programs.
05
Those who want to lower their taxable income and save money on eligible medical expenses can find value in utilizing this type of program.
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Medical flexible spending program is a benefit offered by employers that allows employees to set aside a portion of their pre-tax income to pay for eligible medical expenses.
Employees who wish to participate in the medical flexible spending program must file the necessary paperwork with their employer.
Employees typically need to complete enrollment forms provided by their employer, specifying the amount they wish to contribute to the program.
The purpose of medical flexible spending program is to help employees save money on eligible medical expenses by using pre-tax dollars.
Employees may need to report their annual contribution amount and submit receipts for reimbursement of eligible expenses.
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