Fsa Flexible Spending Account
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2022 guidelines for health savings accounts (HSA)
www.uhc.comFlexible spending account (FSA) Only a limited purpose FSA may be offered alongside the HSA without impacting a member’s eligibility for HSA contributions. Consumers in a full purpose FSA can contribute to an HSA if their FSA balance is $0 at the end of the preceding year. Only a limited purpose FSA may be offered alongside the HSA
Reimbursement Claim Form
www.tasconline.comI authorize my Flexible Spending Account balance to be reduced by the amount requested. I certify that I will use the TASC debit card to purchase qualified Transit Account expenses and will only submit a request for reimbursement of such expenses if unable to …
Flexible Spending Account (FSA) Claim Form
onlineasap.dbsbenefits.comFlexible Spending Account (FSA) Claim Form Claim Filing Options Online: File a claim online by logging into your account at www.dbsbenefits.com Fax/Mail: Complete form below and mail or fax to: Diversified Benefit Services, Inc. PO Box 260, Hartland, WI 53029 Fax (262)367-5938 For assistance please call (800) 234-1229. Participant Information