2005 FLEXIBLE SPENDING ACCOUNT ENROLLMENT FORM - slc-2025

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You can download your 1098-E from your servicers website. (You cant download your 1098-E from StudentAid.gov.) If youre not sure who your loan servicer is, you can log in to StudentAid.gov to get your servicers contact information. You can also call the Federal Student Aid Information Center at 1-800-433-3243.
FSA Enrollment Employees eligible for FEHB are eligible to participate in an FSA and can enroll during their first 60 days of employment or a qualifying life event (QLE) prior to October 1 of the calendar year. Thereafter employees can enroll during the Federal Benefits Open Season.
Contact your local FSA office concerning 1099-G details and eAuthentication ac- cess. Farm Service Agency offices are adopting an instant delivery, electronic option for provid- ing notices, newsletters, reminders etc.
The funds in your Medical and Dependent Care FSA are deposited pre-tax and the amount is deducted from your Annual Gross Income. This will be represented on the W-2 you receive from your Employer for tax reporting. There are no additional tax forms issued for the FSA plans.
Go to .irs.gov/Form8889 for instructions and the latest information. Name(s) shown on Form 1040, 1040-SR, or 1040-NR Social security number of HSA beneficiary. If both spouses have HSAs, see instructions.
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Will I have to pay taxes on the money I contribute to health FSA and/or day care FSA? No. Money you put into an FSA is taken out of your salary before federal income taxes, Social Security and Medicare taxes and most state and local taxes are applied.
No, there is not a separate tax document sent for your FSA contributions. These contributions will appear on your annual W-2 as follows: Healthcare FSA contributions will be identified on your W-2 as less taxable wages in box 1. Dependent care FSA contributions will be identified on your W-2 in box 10.

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