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Does FSA apply to dependents?

You can use funds in your FSA to pay for certain medical and dental expenses for you, your spouse if youre married, and your dependents. You can spend FSA funds to pay deductibles and copayments, but not for insurance premiums.

How do I make an FSA claim?

How to File a FSA Claim Complete a Request for Reimbursement Form and attach the proper documentation for the claim OR upload your claim via our Mobile App or your Online Account. You may submit your Request for Reimbursement Form by mail or by email. Please make sure you submit the proper documentation with the claim.

How do I submit a dependent to FSA?

Once you have paid for expenses that qualify for reimbursement from the FSA, you will need to complete a claim form provided by your employer and attach receipts or proof of payment with the form. The receipts must include specific information to prove that the payment was for qualified expenses.

How do I submit a dependent care FSA claim to PayFlex?

During the plan year, youll pay for your eligible dependent care expenses out of pocket. Once your dependent receives the care, you can submit a claim to pay yourself back from your DCFSA. You can do this online, through the PayFlex Mobile app, or complete a paper claim and fax or mail it to us.

How do I report dependent care to FSA?

Box 10 on your W-2 form should indicate the total annual amount of your Dependent Care FSA deductions. When completing your tax return, you will need to attach a Child and Dependent Care Expenses form (Form 2441 for a 1040 return; Schedule A for a 1040A return). You should contact a tax preparer for more details.

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