Flexible Spending Account Enrollment Change Form - Ohio

Flexible Spending Account Enrollment Change Form - Ohio

Flexible Spending Account Enrollment Change Form is a legal document that was released by the Ohio Department of Administrative Services - a government authority operating within Ohio.

FAQ

Q: What is a Flexible Spending Account?
A: A Flexible Spending Account (FSA) is a tax-advantaged account that allows you to set aside pre-tax dollars to pay for qualified medical expenses.

Q: Can I change my FSA enrollment in Ohio?
A: Yes, you can change your FSA enrollment in Ohio by using the Flexible Spending Account Enrollment Change Form.

Q: How do I use the Flexible Spending Account Enrollment Change Form?
A: To use the form, fill out the necessary information such as your name, employee ID, and requested changes to your FSA enrollment.

Q: What types of changes can I make to my FSA enrollment?
A: You can make changes to the amount of money you contribute to your FSA, add or remove dependents, or update your contact information.

Q: Are there any deadlines for making changes to my FSA enrollment?
A: Yes, there are usually annual open enrollment periods during which you can make changes to your FSA enrollment. Check with your employer for specific deadlines.

Q: What happens if I don't use all the money in my FSA?
A: Any unused funds in your FSA may be forfeited at the end of the plan year, depending on the terms of your FSA.

Q: Can I use FSA funds for over-the-counter medications?
A: Yes, you can use FSA funds for eligible over-the-counter medications, but you may need a prescription from your doctor.

Q: What happens if I leave my job or change employers?
A: If you leave your job or change employers, you may lose any unused funds in your FSA. However, you may be eligible for COBRA continuation coverage.

Q: Can I use FSA funds for my spouse's or dependent's medical expenses?
A: Yes, you can use FSA funds for eligible medical expenses for your spouse and dependents, as long as they are considered tax dependents.

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Form Details:

  • Released on October 15, 2020;
  • The latest edition currently provided by the Ohio Department of Administrative Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Ohio Department of Administrative Services.

Download Flexible Spending Account Enrollment Change Form - Ohio

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