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Southey Flexible Spending Accounts Administered by HealthEquity, Inc. 2022 Enrollment Form (Please Print)___PrefixFirst NameMiddle Initially Name Number___Home Address Pay Status:CityoMonthlyStateZip
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How to fill out southflex - flexible spending
How to fill out southflex - flexible spending
01
Determine your eligible expenses such as medical, dental, vision, and dependent care.
02
Enroll in a southflex - flexible spending account offered by your employer during open enrollment.
03
Estimate your annual expenses that will be eligible for reimbursement through the flexible spending account.
04
Decide on the contribution amount you want to make per paycheck to the flexible spending account.
05
Submit claims for reimbursement of eligible expenses throughout the plan year.
Who needs southflex - flexible spending?
01
Individuals who have out-of-pocket medical, dental, vision, or dependent care expenses.
02
Employees who want to save money on their eligible expenses by using pre-tax dollars through a flexible spending account.
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What is southflex - flexible spending?
Southflex - flexible spending is a benefit program that allows employees to set aside pre-tax dollars for eligible medical expenses.
Who is required to file southflex - flexible spending?
Employees who wish to participate in the southflex - flexible spending program are required to file.
How to fill out southflex - flexible spending?
Employees can fill out the southflex - flexible spending form provided by their employer and select the amount they want to contribute from their paycheck towards eligible expenses.
What is the purpose of southflex - flexible spending?
The purpose of southflex - flexible spending is to help employees save money on medical expenses by allowing them to use pre-tax dollars for eligible costs.
What information must be reported on southflex - flexible spending?
Employees must report the amount they are contributing to the flexible spending account and keep track of eligible expenses for reimbursement.
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