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MEDICAL FLEXIBLE SPENDING PROGRAM (MEDLEY) MIDYEAR ENROLLMENT OR STATUS CHANGE Office of the State Comptroller Healthcare Policy & Benefit Services DivisionMEDFLEXELIGIBILITYEMPLOYEE INFORMATIONCO1306a
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Flexible Spending Accounts (FSA) allow employees to set aside pre-tax funds for eligible healthcare or dependent care expenses.
Employees who choose to participate in a Flexible Spending Account program offered by their employer are required to file Flexible Spending Accounts.
To fill out a Flexible Spending Account form, employees need to provide information about their eligible expenses, anticipated contribution amount, and agree to the terms of the program.
The purpose of Flexible Spending Accounts is to help employees save money on healthcare or dependent care expenses by allowing them to use pre-tax dollars.
Employees need to report their eligible expenses, contribution amounts, receipts or documentation for reimbursement, and abide by any program rules.
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