Get the free Limited Purpose Flexible Spending Account (LP-FSA) Guide

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Concord General Mutual Insurance Co 2020 Flexible Benefits GuideConcord General Mutual Ins. Co.Limited Purpose Flexible Spending Account What is an LPFSA? An LPFSA is a Limited Purpose Flexible Spending

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How to fill out limited purpose flexible spending

01

Determine if your employer offers a limited purpose flexible spending account (FSA).

02

Enroll in the FSA during the open enrollment period.

03

Estimate your expected dental and vision expenses for the year.

04

Use the funds in the FSA to pay for eligible dental and vision expenses.

05

Keep all receipts and documentation for any expenses paid with the FSA funds.

Who needs limited purpose flexible spending?

01

Individuals who have dental and vision expenses that are not covered by their regular health insurance.

02

Those who want to save money on taxes by using pre-tax dollars to pay for dental and vision expenses.

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What is limited purpose flexible spending?

Limited purpose flexible spending is a type of flexible spending account (FSA) that can only be used for certain eligible medical expenses, such as dental and vision care.

Who is required to file limited purpose flexible spending?

Employees who participate in a limited purpose flexible spending account and incur eligible medical expenses are required to file for reimbursement.

How to fill out limited purpose flexible spending?

To fill out a limited purpose flexible spending account, employees need to submit a reimbursement claim form along with receipts for eligible medical expenses.

What is the purpose of limited purpose flexible spending?

The purpose of limited purpose flexible spending is to allow employees to set aside pre-tax money for specific medical expenses not covered by regular health insurance.

What information must be reported on limited purpose flexible spending?

Employees must report the date of service, name of the provider, type of service, and the amount paid for each eligible medical expense on their limited purpose flexible spending account claim form.

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