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LAKE COUNTY BOARD OF COUNTY COMMISSIONERS FLEXIBLE SPENDING ACCOUNT Effective: October 1, 20172TABLE OF CONTENTSARTICLE I DEFINITIONS ARTICLE II PARTICIPATION 2.1 2.2 2.3 2.4 2.5 2.6 2.7ELIGIBILITY
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How to fill out flexible spending account

01
Gather necessary documents such as your employer's flexible spending account enrollment form, medical expense receipts, and a list of eligible expenses.
02
Fill out the enrollment form by providing the required personal information such as your name, address, and social security number.
03
Determine how much money you want to contribute to your flexible spending account for the year. Be mindful of the contribution limits set by the IRS.
04
Calculate your estimated eligible expenses for the upcoming year. This may include medical, dental, and vision expenses that are not covered by insurance.
05
Complete the section on the enrollment form where you specify the amount of money you want to allocate to each category of eligible expenses.
06
Submit the completed enrollment form to your employer, along with any supporting documents they may require.
07
Keep track of your flexible spending account transactions throughout the year by retaining receipts and documentation of your expenses.
08
When you incur an eligible expense, submit a claim for reimbursement to your flexible spending account provider. Follow any instructions provided by the provider and make sure to submit within the given timeframe.
09
Verify that you are properly reimbursed for the eligible expenses by reviewing your account statements or contacting the provider if you have any concerns.
10
Repeat the process annually during the open enrollment period to continue utilizing your flexible spending account.

Who needs flexible spending account?

01
Flexible spending accounts are beneficial for individuals or families who anticipate having out-of-pocket medical, dental, or vision expenses that are not fully covered by insurance.
02
Those who have regular prescription medication costs, require frequent medical treatments, or have ongoing healthcare needs may find flexible spending accounts particularly useful.
03
Employees who have access to a flexible spending account through their employer can take advantage of the pre-tax contributions, allowing them to save money on eligible expenses.
04
Individuals who are proactive in managing their healthcare expenses and interested in maximizing their tax savings may also benefit from having a flexible spending account.
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A flexible spending account is a tax-advantaged financial account that allows employees to set aside a portion of their earnings to pay for qualified expenses such as medical, dental, vision, and dependent care expenses.
Employees who wish to participate in a flexible spending account offered by their employer are required to file and contribute funds to the account.
To fill out a flexible spending account, employees need to specify the amount they wish to contribute to the account during the open enrollment period provided by their employer.
The purpose of a flexible spending account is to help employees save money on out-of-pocket expenses for qualified medical, dental, vision, and dependent care expenses by allowing them to use pre-tax dollars.
The information that must be reported on a flexible spending account includes the total contributions made by the employee, the qualified expenses incurred, and any reimbursements received from the account.
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