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ADMINISTRATION PROVIDED BY: Diversified Group PO Box 299 Marlborough, CT 06447 8602950238 × 391 Toll free 8883222524SECTION 125 FLEXIBLE SPENDINGElection Form/Salary Reduction Agreement GP/DC Group
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How to fill out section 125 flexible spending

01
To fill out section 125 flexible spending, follow these steps:
02
Start by obtaining the necessary forms from your employer. They will typically provide you with a plan document and an enrollment form.
03
Carefully review the plan document to understand the specific rules and guidelines of your employer's section 125 flexible spending plan.
04
Complete the enrollment form by providing your personal information, such as name, address, and social security number.
05
Decide on the amount you want to contribute to your flexible spending account (FSA) for the plan year. This will be deducted pre-tax from your paycheck.
06
Identify the eligible expenses you plan to pay for using the funds in your FSA, such as medical expenses, dependent care expenses, or transportation costs.
07
Submit the completed enrollment form to your employer by the specified deadline. Make sure to keep a copy for your records.
08
Once your enrollment is processed, your employer will deduct the designated amount from your paycheck and deposit it into your FSA account.
09
Keep track of your eligible expenses and submit reimbursement requests as required by your employer's FSA guidelines.
10
Utilize the funds in your FSA to pay for eligible expenses throughout the plan year, ensuring you follow any documentation or submission requirements.
11
Review your FSA account regularly and plan accordingly for the next plan year's open enrollment period.

Who needs section 125 flexible spending?

01
Section 125 flexible spending is beneficial for individuals who have eligible expenses that can be paid for with pre-tax dollars. This includes:
02
- Employees who have predictable medical expenses, such as prescription medications, doctor visits, or dental treatments.
03
- Parents or guardians who incur dependent care expenses, such as daycare or afterschool programs.
04
- Individuals who have commuting or transportation costs, such as parking fees or public transportation expenses.
05
- Anyone who wants to save money on eligible expenses by reducing their taxable income.
06
It's important to note that the eligibility and specific rules of section 125 flexible spending may vary depending on your employer's plan, so it's advisable to review the plan document provided by your employer.
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Section 125 flexible spending is a program that allows employees to set aside pre-tax dollars to pay for certain eligible expenses, such as medical or dependent care.
Employers who offer a Section 125 flexible spending plan are required to file it.
Employees must work with their employer to fill out the necessary forms to participate in a Section 125 flexible spending plan.
The purpose of Section 125 flexible spending is to help employees save money on eligible expenses by allowing them to use pre-tax dollars.
Information such as the employee's contribution amount, the plan year, and the types of expenses being reimbursed must be reported on Section 125 flexible spending.
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