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2010 Flexible Spending Account Enrollment Form doc - slc

2010 Flexible Spending Account Enrollment Form doc - slc-2025

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The document outlines the Flexible Spending Account (FSA) options available for employees at Sarah Lawrence College, allowing them to set aside pre-tax funds for unreimbursed medical expenses and dependent care. It details the maximum amounts that can be deducted, the process for enrollment, and stipulations regarding unused funds and proof of dependency.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is an FSA document?

A flexible spending account (FSA) is a spending account that lets you set aside money on a pre-tax basis to pay for qualified expenses. With an FSA, a portion of your paycheck is deposited in one or more account on a pre-tax basis. You can then use these funds to pay for out-of-pocket eligible expenses.

What documents do you need for FSA?

Q: What documentation is required to verify the eligibility of my FSA expense? documentation containing 1) date of service, 2) type of service, 3) charged amount, 4) name of the provider, and 5) any insurance paid on the expense, if applicable, for each claim.

What kind of receipt do I need for FSA?

Remember, to be accepted for a claim, youll need one of the two accepted forms of paperwork: an itemized receipt, or an Explanation of Benefits (EOB) form (which is typically used for eligible medical services).

Is there a tax form for flexible spending account?

For health and limited health FSAs, you dont have to file anything with your return. You must file Form 2441 with your return if you have a dependent care FSA.

What is valid documentation for FSA?

Start and end dates of service Dependents name and date of birth Itemization of charges Providers name, address, and tax ID or Social Security number Credit card receipts, canceled checks, and balance forward statements do not meet the requirements for acceptable documentation.

What is acceptable documentation for FSA reimbursement?

For office visits: Your health plans Explanation of Benefits (EOB) statement or an itemized receipt or bill from the provider that includes the patients name, a description of the service, the original date of service and your portion of the charge.

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