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2600 West 49th Street
Sioux Falls, SD 571056575Phone: 18003255598
Fax:
16053360270
Email: flex×dakotacare.complex
FLEXIBLE SPENDING ACCOUNT
LETTER OF MEDICAL NECESSITYPatient Name:
Employee Name:
Employee
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What is email flexdakotacare?
Email flexdakotacare is a form used for reporting flexible spending account contributions and distributions.
Who is required to file email flexdakotacare?
Employees who have a flexible spending account are required to file email flexdakotacare.
How to fill out email flexdakotacare?
Email flexdakotacare can be filled out online or by submitting a paper form with the necessary information regarding FSA contributions and distributions.
What is the purpose of email flexdakotacare?
The purpose of email flexdakotacare is to report contributions made to a flexible spending account and distributions taken from it.
What information must be reported on email flexdakotacare?
Information required to be reported on email flexdakotacare includes details of FSA contributions, distributions, and any withdrawals made.
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