Midyear Enrollment Form for Flexible Spending Arrangement (FSA) & Dependent Care Assistance Program (Dcap) - Washington

Midyear Enrollment Form for Flexible Spending Arrangement (FSA) & Dependent Care Assistance Program (Dcap) - Washington

Midyear Enrollment Form for Flexible Spending Arrangement (FSA) & Dependent Care Assistance Program (Dcap) is a legal document that was released by the Washington State Health Care Authority - a government authority operating within Washington.

FAQ

Q: What is the Midyear Enrollment Form?A: The Midyear Enrollment Form is a document for enrolling in the Flexible Spending Arrangement (FSA) and Dependent Care Assistance Program (Dcap) in Washington.

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

Q: What is a Dependent Care Assistance Program (Dcap)?A: A Dependent Care Assistance Program (Dcap) is a benefit program that allows employees to set aside pre-tax dollars to pay for qualified child or dependent care expenses.

Q: Who is eligible to enroll in the FSA and Dcap?A: Employees who meet the eligibility requirements set by their employer are eligible to enroll in the FSA and Dcap.

Q: What expenses can be covered by the FSA?A: The FSA can be used to cover eligible expenses such as medical co-pays, prescription drugs, and health care-related items.

Q: What expenses can be covered by the Dcap?A: The Dcap can be used to cover qualified child or dependent care expenses, such as daycare or after-school programs.

Q: Is there a deadline for submitting the Midyear Enrollment Form?A: The deadline for submitting the Midyear Enrollment Form may vary, so it's important to check with your employer or human resources department.

Q: Can I change my FSA or Dcap contributions after enrolling?A: Changes to FSA or Dcap contributions are generally allowed only during open enrollment periods or if you experience a qualifying life event.

Q: What happens to unspent FSA or Dcap funds at the end of the year?A: Unused funds in the FSA or Dcap typically do not roll over and may be forfeited at the end of the year, depending on the plan rules.

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Form Details:

  • The latest edition currently provided by the Washington State Health Care Authority;
  • 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 Washington State Health Care Authority.

Download Midyear Enrollment Form for Flexible Spending Arrangement (FSA) & Dependent Care Assistance Program (Dcap) - Washington

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