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PEHP FLEX$ 560 East 200 South, Salt Lake City, UT 84102 8013667503 / 8007537703 | FAX: 8013667772 / Tollfree FAX: 8007598772 Name (First, Middle, Last)Home AddressSalary Reduction AgreementPEHP ID
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How to fill out pehp flex

01
Gather necessary personal information including your Social Security number and contact information.
02
Access the PEHP Flex website or platform provided by your employer.
03
Navigate to the section for filling out the PEHP Flex forms.
04
Carefully read the instructions provided for each section.
05
Fill in your personal information as required.
06
Specify the coverage options you are selecting.
07
Include any dependent information if applicable.
08
Review all filled-out sections for accuracy.
09
Submit the completed form through the indicated method (online submission, email, or mail).
10
Keep a copy of the submitted form for your records.

Who needs pehp flex?

01
Employees who are offered a flexible spending account through their employer.
02
Individuals looking to manage their out-of-pocket healthcare expenses.
03
Families who want to budget for dependent healthcare costs.
04
Anyone who wants to take advantage of tax savings associated with healthcare expenses.
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PEHP Flex is a flexible spending account program that allows employees to set aside pre-tax dollars for eligible medical expenses, dependent care, and other health-related costs.
Employees who participate in the PEHP Flex program and wish to claim reimbursements for eligible expenses are required to file PEHP Flex.
To fill out PEHP Flex, you will need to complete the designated claim form, provide supporting documentation for expenses, and submit the form to your plan administrator.
The purpose of PEHP Flex is to provide employees with a tax-advantaged way to pay for qualifying medical and dependent care expenses, thereby reducing their overall taxable income.
You must report information such as the type of expense, the amount incurred, the date of service, and provide any necessary receipts or documentation to validate the claim.
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