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Reimbursement Request Form Flexible Spending Account Healthcare Benefit Solutions PO Box 16647, Lubbock, TX 794906647 Customer Service: 844.516.3658Check here if address has changed. PART 1. EMPLOYEE
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How to fill out healthsmart flexible spending account

How to fill out healthsmart flexible spending account
01
Visit the Healthsmart website or contact your employer for enrollment information
02
Determine how much money you want to contribute to your flexible spending account
03
Ensure you are eligible for a flexible spending account based on your employer's guidelines
04
Fill out the enrollment form with accurate personal and financial information
05
Submit the completed form to your employer or the Healthsmart administrator for processing
Who needs healthsmart flexible spending account?
01
Individuals who have eligible healthcare expenses that are not covered by insurance
02
Those who want to save money on medical expenses by using pre-tax dollars
03
Employed individuals who have access to a Healthsmart flexible spending account through their employer
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What is healthsmart flexible spending account?
A healthsmart flexible spending account is a type of account that allows individuals to set aside pre-tax dollars to pay for eligible medical expenses.
Who is required to file healthsmart flexible spending account?
Employees who wish to utilize a healthsmart flexible spending account must enroll during their employer's open enrollment period.
How to fill out healthsmart flexible spending account?
To fill out a healthsmart flexible spending account, individuals need to provide information on eligible expenses they expect to incur during the plan year.
What is the purpose of healthsmart flexible spending account?
The purpose of a healthsmart flexible spending account is to help individuals save money on medical expenses by using pre-tax dollars.
What information must be reported on healthsmart flexible spending account?
Information such as the amount of money set aside, eligible expenses incurred, and receipts for reimbursement must be reported on a healthsmart flexible spending account.
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