Flexible Spending Account (FSA) Enrollment Agreement - Asiflex - Delaware

Flexible Spending Account (FSA) Enrollment Agreement - Asiflex - Delaware

Flexible Spending Account (FSA) Enrollment Agreement - Asiflex is a legal document that was released by the Delaware Department of Human Resources - a government authority operating within Delaware.

FAQ

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

Q: Who is eligible to participate in a Flexible Spending Account (FSA)?
A: Employees of participating employers are eligible to participate in a Flexible Spending Account (FSA).

Q: What expenses can be reimbursed through a Flexible Spending Account (FSA)?
A: Qualified medical expenses such as doctor visits, prescription medications, and dental care can be reimbursed through a Flexible Spending Account (FSA).

Q: How much money can I contribute to a Flexible Spending Account (FSA)?
A: The maximum annual contribution limit for a Flexible Spending Account (FSA) is set by the employer and can vary. However, the IRS sets a general limit each year, which is $2,750 for 2021.

Q: Can I use my Flexible Spending Account (FSA) funds for over-the-counter (OTC) medications?
A: Yes, you can use your Flexible Spending Account (FSA) funds for eligible over-the-counter (OTC) medications. However, as of January 1, 2021, a prescription is required for certain OTC items.

Q: What happens if I don't use all of the money in my Flexible Spending Account (FSA) by the end of the plan year?
A: Any unused money in your Flexible Spending Account (FSA) at the end of the plan year may be forfeited, depending on your employer's plan. Some employers offer a grace period or carryover provision.

Q: Can I change my Flexible Spending Account (FSA) contribution amount during the plan year?
A: Generally, you can only change your Flexible Spending Account (FSA) contribution amount during the annual open enrollment period. However, certain qualifying life events may allow for a mid-year change.

Q: Can I use my Flexible Spending Account (FSA) funds for dependent care expenses?
A: Yes, you can use your Flexible Spending Account (FSA) funds for eligible dependent care expenses, such as daycare or babysitting services, as long as the expenses allow you to work.

Q: How long do I have to submit a claim for reimbursement from my Flexible Spending Account (FSA)?
A: The deadline for submitting a claim for reimbursement from your Flexible Spending Account (FSA) is typically set by your FSA administrator. It is important to submit claims promptly after incurring the expenses.

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Form Details:

  • The latest edition currently provided by the Delaware Department of Human Resources;
  • 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 printable version of the form by clicking the link below or browse more documents and templates provided by the Delaware Department of Human Resources.

Download Flexible Spending Account (FSA) Enrollment Agreement - Asiflex - Delaware

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