0000038345 00000 n 0000001690 00000 n Install the signNow application on your iOS device. Medical Spending/Limited Purpose reimbursement requests, as well as debit card transaction documentation, can be sent electronically, by fax, or by mail to HSA Bank. If you have specific questions about your benefits, please contact the Human Resources Department at(214) 653-6579or(214) 653-6161. your spending account dallas, tx. All rights reserved. % Old Red Museum of Dallas County History and Culture, Community Supervision and Corrections (Adult Probation), Department of Unincorporated Area Services, Office of Homeland Security and Emergency Management, Dallas County Unincorporated Area Strategy, Vehicle Registration - VTR 68-A Inspections, Dallas Area Rapid Transit (DART) Pass Program, Colonial Life Voluntary Supplemental Insurance, Public Employees Benefits Cooperative (PEBC). :Walgreens, Albertsons, Walmart) have IIAS capability. This is the place to take action with Your Spending Account. Dependent Care FSA funds must be used by December 31, 2022, and all claims must be filed by March 31, 2023. You cannot submit claims for services received after your departure date. www.yourspendingaccount.com - Enroll for Benefits Online PDF HSA Plan Details - BMO U.S. Benefits The out-of-pocket medical and dependent care expenses that you pay each year can quickly add up to hundreds, or even thousands, of dollars. 0000050141 00000 n HdUK!)S3*~ {Ucz$jRc4ZZ}Um2_%FnW.^?s10-5O]kZy\ R wYm0Tk+{S/lB! ;k`SEf?=M5D3:NL[- Y%l2r. Posted 6 days ago Machine Operator Positions Futamura 3.2 Topeka, KS From $30 an hour Full-time Day shift + 2 You may also call 214-671-6947,Option 1. Keep your receipts and invoices. your spending account (ysa) login your spending account hewitt ysa reimbursement phone number your spending account phone number at&t hra claim form Create this form in 5 minutes! 0000238976 00000 n No monthly maintenance fees. Spending account Jobs in Dallas, TX, January 2023 | Glassdoor Legal Information | Privacy Statement | About this Site 2023 Alight Solutions plc Your flexible spending account (FSA) balance is yours to spend through December 31st of each year. Dallas County. Employees/Retirees can direct questions regarding benefits to the All rights reserved. If you have elected to contribute to an HSA in 2022, you may also enroll in a Limited-Purpose FSA, even though both accounts may reimburse dental and vision expenses. 6,804 open jobs for Spending account in Dallas. hbbbd`b`` f Phone: (214) 653-7638 Fax: (214) 653-7608. PDF 3M Retiree Health Reimbursement Arrangement (HRA) Plan Medicare to Your Spending Account by fax or mail: Fax: (888) 211-9900 Mail: Your Spending Account P.O. PDF Spending Account Reimbursement Claim Forms - WageWorks Your Spending Account Jobs, Employment | Indeed.com BL@Ma This is an IRS rule. Visit www.hsabank.com for a list of eligible expenses and to set up direct deposit for expense reimbursement. PDF Spending Account Claim Form - University of Scranton Welcome to Your Spending Account! 414. The health care FSA lets you set aside money on a pre-tax basisfor both you and your eligible dependentsto pay for eligible health, dental and vision expenses. 0000014737 00000 n 0000041523 00000 n The Section 125 Flexible Spending Account plan is administered by United Health Care (UHC). Search Spending accounts jobs in Dallas, TX with company ratings & salaries. You cannot be claimed as a dependent on someone elses tax return. And free to you. View all FAQs Savings Calculators UT FLEX How to Use Your Flexible Spending Account. kiL/o0[~A(V-+>%ieoUaooeyl \ 0000003723 00000 n hbbd``b`@H~7 1s=q_* RqYW$$cAb@D+A\/ H2e`bd  =@a (512) 499-4200. Real Est, Argonne Retirees | Argonne National Laboratory, A health reimbursement account (HRA) will be established to help reimburse you for the BlueCross BlueShield of Illinois claim form or International claim form. . All other questions that cannot be answered by either of endstream endobj 72 0 obj <>stream Flexible Spending Accounts. Here's what you'll learn: d How to access your account All claims must be submitted by March 31, 2023. 0000050880 00000 n Austin, Texas 78701-2982. Life and Accident Plans. Your Spending Account -- Greeting Page - Alight The Medical Spending FSA, Limited Purpose FSA, and Dependent Care FSA are separate. You can deposit funds in an HSA if: If you enroll in the HDP with an HSA, be sure to save receipts. HELPFUL HINTS If the receipt is handwritten, it must include the service provider's signature. 108 0 obj <>stream 1.8k salaries reported, updated at February 15, 2023. The maximum annual Medical Spending FSA election is $2,750. Jj>`avp 78L` Posted 11/22/2019 Other News Local: (614) 228-2975 Customer Service: 1-888-864-8363 Fax: (614) 628-1777 Unlike Medical Spending FSAs and Limited- Purpose FSAs, Dependent Care FSAs may only reimburse expenses up to the amount you have contributed to date. Create an account using your email or sign in via Google or Facebook. }@2D8inx%'\#d;aT n$M4IAWDHl|"I@*x/#28}}?Qoe?IU6b3hM v':H,! Dallas, TX. No minimum balance fees. Your Spending Account P.O. Account manager salary in Dallas, TX - indeed.com Box 661147 Dallas , TX 75266-1147 Effective January 1, 2020, the paragraph Titled Agent for Services of Legal Process in the The new address for YSA is: YSA will be sending official communication to members about the new address around during the first quarter of 2020. Flexible Spending Accounts (FSA) for Medical Expenses and/or Dependent Care. Paid Family Leave. The annual maximum contribution to a Dependent Care FSA is $5,000 (or. your spending account dallas, tx - survivormax.net Ysa Reimbursement Account Sign in Form - Fill Out and Sign Printable Smart-Choice The Woodlands, TX 77387 Health Savings Account administration Smart-Choice Accounts PO Box 64009 -4009 Human Resources Centre (HRC): 1-888-927-7700 BMO U.S. Benefits Enrolling and making changes to your annual . plans offer two major different flexible spending accounts focused on medical and dependent care expenses. The TexFlex health care FSA is administered by PayFlex Systems, Inc. To learn more about this FSA visit the TexFlex website or call TexFlex Customer Care toll-free at (866)353-9839 (TTY:711). 0000050534 00000 n Spending accounts Jobs in Dallas, TX | Glassdoor Health care reimbursement for qualified out-of-pocket health care expenses that are not covered by insurance (i.e. 2022 Medical, Dental, Vision and Prescription Active Employees. Box 64030 The Woodlands, TX 77387-4030 If faxing, be sure to place this form before your receipts and don't include a cover letter. Search for the document you need to design on your device and upload it. If you have a Your Spending Account online, you will be able to: Flexible Spending Accounts in Dallas, TX | Invited - ClubCorp 0 hWn6wQd(eI%nWI3rq(Crn`f&bB(fbb l0\09NPL&1GA2ibt#RDK.V($;ER6``B?Cos[4#-`cng`d=ldKT-,l][`b]h|Y1&~W;F8K?8$MIL\/f`f,v[pjRI5[,fj Click here to view the 2023 Active Employee Benefitspresentation. 0000001858 00000 n HlN1E+c'N^-TV3h/:L8cy Document Type. Traditional Health are Flexible Spending Account*); %PDF-1.4 % x]Ks7Ja{ S1T)(eY,':{PllMn`( h/[(hO;Vh]J(QKSVZW>Tztrp|Xo=ATteUGGyYvwx^.-nw)jfYY]s|36tQLi86lNiO77opzv~c*Tf6vZKjx=xC.-uiSJ[jl- 6ZVA>>q&jP6b}iR4iHd(Cpu\e_'? .Li{~y:^}I|fT;_5JCZcp|3!Sru~Z pMgVi5nmh9uz^n>"nx}ZgCNgug*dwFq*&L6Q{T0;`fdOw#0Lq]HG6MS9GtAlxDCqqe[:Ql:8yAf_R]-Tgr:`D:$1M"XhjOPdfw{Zh)X^a`i%P5/^boB5cwuy?dzaF81:ayBWIe'h#]TMd>mP0 &/6TkzHT=AVtQh/KV : jv4q>#Gz8vM)/ral0'IlN,wj{{_6iznq>C,9K{R\:OWmKhFvm EZu ph` F Select the document you want to sign and click. Seed money is not offered to those who add coverage in the high-deductible plan as a result of a mid-year qualifying event. Apply to Customer Service Representative, Procurement Manager, Account Executive and more! Box 661147 Dallas, TX 75266-1147 Tel: (888) 611-5500 (toll free) Monday through Friday: 8 a.m. - 6 p.m. CT . . <>>> Healthcare Spending Account | ERS - Texas To comply with HSA rules, your Limited- Purpose FSA may only be used to reimburse out-of-pocket dental and vision expenses for you, your spouse, and your dependents. 0000010668 00000 n <> Employee Assistance Program. 0000021016 00000 n These benefits are available to full time employees only. 125 0 obj <>stream 0000029666 00000 n Your spending account is your checking account. Dallas, TX. Human Resources | Flexible Spending Accounts - Dallas County Blade misrepresents OP&F. Employer Name: Employee Name: SSN: Phone: Email: Medical Expense Claims (FSA, or Employer funded HRA) Dependent Day Care Claims Account Type FSA HRA Date Expense Incurred Name of Person Receiving Medical Service Provider Name It is the second-most populous county in Texas and the ninth-most populous in the United States. 0. Claims are normally reimbursed within a week of HSA Bank receiving the claim. Dallas, TX 75234 1 972-243-6191 ClubCorp on facebook; ClubCorp on instagram . That insurance company is PEBC (Public Employee Benefits Cooperative). __g 5j(]c;,mKK{x FG[ojl5kzW|S^}gdhg7_/b3-. Benefits - Welcome to the City of Dallas, Texas 0000266869 00000 n Aviation Project Manager - HW Lochner, Inc QFZ%us.7r?:7{7Zq u9s Generally, large pharmacies, grocery stores, and box stores (i.e. 0000029729 00000 n Records Building - 500 Elm Street, Suite 4100, Dallas, TX 75202 Phone: (214) 653-7638 Fax: (214) 653-7608 The out-of-pocket medical and dependent care expenses that you pay each year can quickly add up to hundreds, or even thousands, of dollars. 2) Select "Documents and Forms" from the left-hand navigation menu. 0000001416 00000 n An HSA will be opened with Optum Bank for all newly enrolled HSA participants. Pension Plans. Contact Optum Bank for details. 0000050063 00000 n When you enroll in the Medical Spending or Limited Purpose FSA, you will receive a debit card fromHSA Bank in the mail. 0000059187 00000 n The IRS also allows catch-up contributions of $1,000 if you are age 55 or older. Account executive salary in Dallas, TX - Indeed 8,033 open jobs for Spending accounts in Dallas. Wb"77Su,1 U@k~l-[6rn20mn" =5ui{l; z|c8bz~'m>4#YWi)Ax0(a,j{Ut8i3{^H:}BWcBIa`V]_,SQ!oCC:{sa;Ua,MsNePg : N>O^Yc*:fIy ~DD&ugP}DZz$f\x.Afb2`FI`'FK1G`Ph=9/8bQom Fha\{^%t O2 I[nQx5y&bDiD6('S8SI44@gH{smBA*M:JO[ Yw7 yo6 2{dV The plan helps you save money for health care and dependent care expenses. Get access to thousands of forms. _:1UDU Responsible Office(s) Employee Benefits. You may also call 214-671-6947, Option 1. Then, you may request reimbursement from the account when eligible expenses are incurred. xref Benefits | Consolidated Nuclear Security, LLC Search Spending account jobs in Dallas, TX with company ratings & salaries. 0000011883 00000 n The card will hold Medical Spending and/or Limited-Purpose funds. Apply to Administrative Assistant and more! Toll-free: (877) 275-4377 6{3]b Dallas Independent School District Flexible Spending Account (FSA) endstream endobj 69 0 obj <>stream The grace period does not apply, and you may not roll these funds into a Limited Purpose FSA for 2022. 7R=nq(C(k[B%xpi 21 y?|/zg}v6eU$7H-BA9Tc.^FLx9X}*O:#f#AHCG&z7F 5$Bw 85K2qEN/F&&pf .\4h`.K"$n> 8/NkWu5W[Y% BxBifZiKb[[3S,uStWy|Kt355e9mwg\ruuh:zv$3_}D4t0jx&]Lim&ad|yQ2B$z^v:JA%NQM$_jnRLZE,O!o4z9>PjVtUV2r?MXkoL`.`oQh JssY~GhOnjV(;3Q+ E5vOC^7KWui5/fXVEn::e[n=}e:x7QD:II{g#6/:^% To enroll, you elect an amount to be deducted pre-tax from your paycheck over 24 pay periods and deposited into your FSA. Flexible Spending. 4 0 obj Note: If you currently participate in the Medical Spending FSA and elect the HSA medical plan for 2022, your FSA funds will expire on December 31, 2021. Its county seat is Dallas, which is also the third-largest city in Texas and the ninth-largest city in the United States. 0000021304 00000 n 447 Flex Spending Account jobs available in Dallas, TX on Indeed.com. %%EOF &VkXHt9-@uO4,(+z(6 %% @=2 6 HELPFUL INTS If the receipt is handwritten, it must include the service provider's signature. The average salary for a account executive is $74,443 per year in Dallas, TX and $20,000 commission per year. 1) Register or log into your employer's Spending Account website. 0000050024 00000 n Records Building - 500 Elm Street, Suite 4100, Dallas, TX 75202. Ohio Police & Fire Pension Fund. prescription and office visit co-pays, lab fees, glasses, contacts, dental services, over-the-counter products, etc.). endstream endobj 71 0 obj <>/Metadata 3 0 R/Pages 2 0 R/StructTreeRoot 5 0 R/Type/Catalog/ViewerPreferences<>>> endobj 72 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 73 0 obj <> endobj 74 0 obj <> endobj 75 0 obj [/Separation/PANTONE#20137#20C 86 0 R<>] endobj 76 0 obj [/ICCBased 87 0 R] endobj 77 0 obj <>stream 0000014703 00000 n Share on Facebook . You are responsible for verifying your HSA was used for eligible medical expenses under the IRS tax code. Deep integrations streamline the experience at every step. %PDF-1.5 Box 64030 The Woodlands, TX 77387-4030 If faxing, be sure to place this form before your receipts and don't include a cover letter. Sending Your Claim to Your Spending Account Send this form and your documentation to Your Spending Account by fax or mail. 0000003758 00000 n Financial Transparency default- Financial Transparency Home Page - Dallas It will NOT hold Dependent Care funds. This benefit allows you to deduct money from your paychecks for: For additional information, please visit the Public Employees Benefits Cooperative (PEBC)website atwww.pebcinfo.com. 0 Spend it on your own terms. Once your account is opened, you will receive a Welcome Kit in the mail. W\[m{f-h9P6pqU+&]Usv8/ |_Y6~^bN#d5Z) fw%jmQ!l*z5wjb`Xxkn`q=g x_b2MDWwHrnFI*h;~'?v`y+gh17e An HSA is a savings account that you can use to help cover qualified health care expenses. . 0000050266 00000 n Benefits of Using YourSpendingAccount. 0000050612 00000 n The PEBC HDP is an HSA-eligible plan. 70 0 obj <> endobj 0000328120 00000 n hbbd``b`q@ xsWF0+X D*@ !H N] !R D,X [email protected] $,Av$dAV See how we can help you reduce benefit costs, while delivering the best possible benefits experience. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 0 A Flexible Spending Account (FSA) allows you to save money by using "before-tax" dollars to pay for certain health care and dependent care expenses. Is this useful? Health Spending Accounts. Argentina Australia Belgi (Nederlands) Belgique (Franais) Brasil No fees at TCCU ATM's. Spend your days in paradise or spend some love to a special someone. Dallas County is a county located in the U.S. state of Texas. Dental Plan. This is the place to take action with Your Spending Account. The entire annual amount you elect may be used at any time during the plan year and is available January 1. trailer You will have 90 days following your departure date to submit claims for expenses incurred before you left. 1500 Marilla Street | 4FN | Dallas, TX 75201 Tel: 214-670-3659 Financial Transparency default- Financial Transparency Home Page 2022 Flexible Spending Account (FSA) - Dallas Box 661147 Dallas, TX 75266-1147 If faxing, be sure to place the form before your itemized receipts and don't include a cover letter. Unlike an FSA, there is no use it or lose it rule and it comes with triple-tax benefits: For 2023, you can contribute $3,850 through payroll deduction if you have individual coverage or $7,750 if you have family coverage. how do i choose my seat on alaska airlines? Benefits Service Center1500 Marilla StreetRoom 1D-SouthDallas, Texas 75201Phone: 214-671-6947,Option 1Fax: 214-659-7098. indicates you have dental insurance, proof HELPFUL HINTS If the receipt is handwritten, it must FLEXIBLE SPENDING ACCOUNTS (FSA) The Flexible Spending Accounts (FSAs) allow you to pay for eligible healthcare and dependent care expenses using tax-free dollars - money taken out of your paycheck before income or Social Security taxes have been calculated. JOB DETAILS. hZrG}} Ey{S6` `$,?5VI&8O|=#dIn6%=3}vLEY0HeCtbLu*- 7,514 Flexible Spending Account jobs available in Dallas, TX on Indeed.com. If the merchant does not accept the card, submit the expense through the HSA Bank website (www.hsabank.com) or by mail. endstream endobj startxref FSAFEDS 5y0eKL0A8+CN"Hs8vWb5x4\fG^xU"8Aj0'+jmh9C:ZL:P5#pD_W@`ain&b@$bu? Contact Us | Help | Privacy Policy | ADA Statement. OP&amp;F News - OP&F Draw your signature or initials, place it in the corresponding field and save the changes. endstream endobj startxref If the expense will be considered for insurance reimbursement, try to wait until you receive the Explanation of Benefits (EOB) from the insurance company to be sure that the debit card transaction is for the correct out-of-pocket amount. The average salary for a account manager is $66,200 per year in Dallas, TX and $12,000 commission per year. If youre are enrolled in Consumer Directed HealthSelect and are interested in setting aside money on a pre-tax basis for eligible dental and vision expenses, check out the TexFlex limited-purpose FSA. The Dependent Care FSA is used to reimburse you for certain expenses for children under age 13, or individuals unable to care for themselves. Members Report Fall Newsletter Now Available, OP&F Pre-Retirement Webinar video now available. With an HCFSA, you use pre-tax dollars to pay for qualified out-of-pocket health care expenses. Flexible Spending Account jobs in Dallas, TX - indeed.com For dependent care, you must submit the expense through www.hsabank.com or by mail. This guide will help you get started with Your Spending Account (YSA) a website you can use to manage your retiree Health Reimbursement Account (HRA) whenever and wherever it's most convenient for you. HVnF|Wt8V`Hv^{PXfLOuuP@^,rOnEC'/\R@gg//hy<8 lN~N 0$xXOR~uJV:5y~DR s?gPo ;"U/|xu`VJ0|5wlrg8lU>?9x@7:H.>%e^q`{yu74u{~P@@' OLEB~(((N@K? FG U%KPc4WJ+ In the United States, a flexible spending account (FSA), also known as a flexible spending Paper forms or an FSA debit card may be used to access the account funds. 65 0 obj <> endobj According to Aon and YSA, any mail received at the old address is automatically forwarded to the new address. Job Type All; Full-Time; Part-Time; Contractor; Contract to Hire; Intern; Seasonal / Temp; Gig-Work; Date Posted 24 hours . By law, any money left in your FSA(s) at the end of the year must be forfeited. Search CareerBuilder for Flexible Spending Account Plan Jobs in dallas,TX and browse our platform. Questions regarding Medicare Advantage Plan (MAPD): 877-299-1008 All other questions that cannot be answered by either of these need to be directed to [email protected]. 77 0 obj <>/Filter/FlateDecode/ID[<7C0EF33EDAADE1C3B0D9FABD37FA2AA8>]/Index[42 61]/Info 41 0 R/Length 138/Prev 119686/Root 43 0 R/Size 103/Type/XRef/W[1 2 1]>>stream Find the extension in the Web Store and push, Click on the link to the document you want to design and select. Your Spending Account jobs Sort by: relevance - date 271,102 jobs Fast hiring You'll evaluate vendors and issue purchase orders for goods and services, while relying on your experience, training, and judgment to plan and accomplish goals. 5 days ago. Skip to Content Jobs Upload/Build Resume . .`9\Bs(|+p*l8=+)n'W=rj94 .E~u==&$b4lny^|l *DgN69pvhRk'[y|~^y,x1T`TM~7rn>:4ee&:.sX1&9EX!YT0rV)E^b,q$YcaSJT [0fURCQ"5Z Look through the document several times and make sure that all fields are completed with the correct information. endstream endobj 43 0 obj <> endobj 44 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/Type/Page>> endobj 45 0 obj <>stream PDF HEALTH CARE CLAIM FORM - Windstream Benefits If you use the card at an Inventory Information Approval System (IIAS) merchant, the transaction will be approved at the point of sale. Representatives are available to assist you Monday through Friday, 7 a.m. to 7 p.m. CT and Saturday, 9 a.m. to 2 p.m. CT. xH&c$CNRKW3suU/gz_?];7}>xrkUeh]~e6kPU+Wqv88[w]=wg]]^~pQU:HK)\xwv};Co]qo_ h`3V}s"_G02(JH(gS^mHF*J6ic$QhneP_28|( 9RNRMU&iL\Tk+#zwV" 0000006921 00000 n LOCATION. VIEWS. If you retire or otherwise leave City employment, your FSA funds will terminate on the date of your departure. 0000013089 00000 n 0000240494 00000 n 0000014230 00000 n Ordinarily, these expenses are paid with after-tax money. endstream endobj 71 0 obj <>stream >E *8x)R}3ABlVeIoB~YC7=g=_SId8X UZKX Select the area where you want to insert your signature and then draw it in the popup window. Additionally, any claim forms, communications or notices generated by YSA since the change have included the new address. Apply now for jobs that are hiring near you. ]A?~D-jF/aXdkut#F;u\#~,61'=mo/ di3{En. ,uFnPU5#kS_r,A'$$]3K ;> Your FSA funds may be used for qualified medical costs like copays and deductibles, prescriptions and some over-the-counter medicines, dependent care and more. 0000005093 00000 n Representatives are available to assist you Monday through Friday, 7 a.m. to 7 p.m. CT and Saturday, 9 a.m. to 2 p.m. CT. 0000014112 00000 n 0000005496 00000 n 0000014814 00000 n The maximum annual Limited-Purpose FSA election is $2,750. You must be enrolled in a high-deductible health plan to participate. The benefits service center is available by phone and email to assist you with your benefit questions. by. As long as you maintain an account balance of $500 or more, you will not be charged the $1 monthly account maintenance fee. Accounts - Tarrant County's Credit Union endobj 0000042266 00000 n A TexFlexSM health care flexible spending account (FSA) is available to benefits-eligible employees not enrolled in Consumer Directed HealthSelectSM. 3 0 obj <<345A0DA70B0308418CEB8C1CDDA1C003>]/Prev 332151/XRefStm 1690>> endstream endobj 66 0 obj <>>> endobj 67 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 68 0 obj <>stream Vision Plan. 0000041865 00000 n endobj Human Resources | Health Spending Accounts Create your signature, and apply it to the page. Dependent care reimbursement for costs paid to day care and elder care providers. Your Spending Accounts PO Box 661147 Dallas, TX 75266-1147 YSA will be sending official communication to members about the new address around during the first quarter of 2020. You are covered under an eligible high-deductible plan (like the HDP). <> Spending Account Claim Form TOLL FREE: 888.868.FLEX (3539) myameriflex.com uYou can submit this data via myameriflex. %%EOF Get Form New claims forms will also be sent that include updated information. following: Questions regarding plan information for active/pre65: 214-556-0971. "b!bULZX |fX3X6{. Your Spending Account -- Greeting Page - Alight Ordinarily, these expenses are paid with after-tax money. TTY: 711 endobj YSA Dependent Care Claim Form - Intuit Benefits See IRS Form 2441 Part III for details. . A Flexible Spending Account (FSA) allows you to save money by using "before-tax" dollars to pay for certain health care and dependent care expenses. 0000020691 00000 n Fax: 1-888-211-9900 Mail: Your Spending Account P.O. 2 0 obj in interesting facts about sam houston. zkeok:JWKmDAP#]5JGa:1Xptvoe"`lDX,RPF@\is T)0s_(,fI5"TYa-bYepFKdLH_b48 7T?CNO&>t".]0&? UT Dallas; UT El Paso; UT Permian Basin; UT Rio Grande Valley; UT San Antonio; UT Tyler; Health Institutions.