Leave of Absence Form Health Care Flexible Spending Account is a legal document that was released by the Delaware Department of Human Resources - a government authority operating within Delaware.
Q: What is a leave of absence form?
A: A leave of absence form is a document that allows an employee to request a temporary time off from work.
Q: What is a Health Care Flexible Spending Account?
A: A Health Care Flexible Spending Account is an employer-sponsored benefit that allows employees to set aside pre-tax dollars to pay for eligible medical expenses.
Q: What can you use a Health Care Flexible Spending Account for?
A: You can use a Health Care Flexible Spending Account to pay for eligible medical expenses such as doctor's visits, prescription medications, and medical supplies.
Q: Who is eligible for a Health Care Flexible Spending Account?
A: Employees who are enrolled in a qualifying health insurance plan and meet the employer's eligibility requirements are usually eligible for a Health Care Flexible Spending Account.
Q: What is the purpose of a leave of absence form for a Health Care Flexible Spending Account?
A: The purpose of a leave of absence form for a Health Care Flexible Spending Account is to notify the plan administrator when an employee goes on a leave of absence, so appropriate adjustments can be made to their account.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Delaware Department of Human Resources.