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MARSHFIELD CLINIC HEALTH SYSTEM, INC. FLEXIBLE BENEFIT PLAN BASIC PLAN DOCUMENT #125Copyright 20052020 Diversified Benefit Services, Inc. All Rights Reserved.MARSHFIELD CLINIC HEALTH SYSTEM, INC.
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How to fill out flex spending diversified benefits

01
Determine your eligibility for a flex spending account.
02
Estimate your annual healthcare and dependent care expenses.
03
Enroll in a flex spending account through your employer during open enrollment.
04
Decide on the amount of money to contribute to your flex spending account for the year.
05
Keep track of your expenses and submit claims for reimbursement as needed.

Who needs flex spending diversified benefits?

01
Employees who have out-of-pocket healthcare expenses not covered by insurance.
02
Parents who have dependent care expenses for children or elderly family members.
03
Individuals who want to lower their taxable income by setting aside pre-tax dollars for medical and dependent care expenses.
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Flex spending diversified benefits refer to a type of benefit program that allows employees to set aside a portion of their pre-tax income to pay for eligible medical expenses and dependent care expenses.
Employees who want to take advantage of the flex spending diversified benefits program offered by their employer are required to file for it.
To fill out flex spending diversified benefits, employees typically need to complete a form provided by their employer and indicate the amount they wish to contribute from their pre-tax income.
The purpose of flex spending diversified benefits is to help employees save money on eligible medical and dependent care expenses by using pre-tax dollars.
Employees must report the amount they wish to contribute from their pre-tax income, as well as any eligible expenses they incur throughout the year.
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