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New Enrollment Change in EnrollmentMONROE COUNTY2016 FLEXIBLE SPENDING ACCOUNT (FSA) ENROLLMENT FORM Birth Date:MoDayYearGender: Marital Status: Male FemaleMoSingleDate of Hire: Disenrollment Date:Heterosocial
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What is medicaldentalvisionrx?
medicaldentalvisionrx is a form used to report medical, dental, vision, and prescription drug coverage information.
Who is required to file medicaldentalvisionrx?
Employers who provide medical, dental, vision, or prescription drug coverage to their employees are required to file medicaldentalvisionrx.
How to fill out medicaldentalvisionrx?
Medicaldentalvisionrx can be filled out electronically through the IRS's Affordable Care Act Information Returns (AIR) System.
What is the purpose of medicaldentalvisionrx?
The purpose of medicaldentalvisionrx is to provide the IRS with information about the health insurance coverage offered to employees.
What information must be reported on medicaldentalvisionrx?
Information such as the name, address, and Social Security number of the employee, as well as details about the health coverage provided.
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