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FLEXIBLE SPENDING ACCOUNT PLAN 2022 BENEFIT ELECTION FORM PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION:I.EMPLOYEE INFORMATIONEMPLOYEE NAME: ___SOCIAL SECURITY NO: ___ADDRESS: ___CITY, STATE & ZIP:
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How to fill out flexible spending accounts
How to fill out flexible spending accounts
01
Determine how much you will contribute to your flexible spending account.
02
Keep track of eligible expenses such as medical and dependent care costs.
03
Submit claims and receipts for reimbursement according to your employer's guidelines.
04
Stay informed about deadlines and rollover options for unused funds.
Who needs flexible spending accounts?
01
Individuals who have predictable medical or dependent care expenses that are not covered by insurance.
02
Employees who want to save money on taxes by using pre-tax dollars to pay for eligible expenses.
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What is flexible spending accounts?
Flexible spending accounts, or FSAs, are special accounts that allow employees to set aside pre-tax dollars for eligible healthcare and dependent care expenses.
Who is required to file flexible spending accounts?
Employees who participate in an employer-sponsored FSA program are required to file flexible spending accounts.
How to fill out flexible spending accounts?
Employees can fill out flexible spending accounts by submitting eligible expense receipts and completing the necessary forms provided by their employer.
What is the purpose of flexible spending accounts?
The purpose of flexible spending accounts is to help employees save money on eligible healthcare and dependent care expenses by allowing them to use pre-tax dollars.
What information must be reported on flexible spending accounts?
Employees must report eligible expense receipts and provide any necessary documentation to support their FSA claims.
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