your spending account dallas, tx

Jj>`avp 78L` 8,033 open jobs for Spending accounts in Dallas. Your Spending Account! Draw your signature or initials, place it in the corresponding field and save the changes. O;T Here's what you'll learn: d How to access your account Responsible Office(s) Employee Benefits. Search for the document you need to design on your device and upload it. Posted 6 days ago Machine Operator Positions Futamura 3.2 Topeka, KS From $30 an hour Full-time Day shift + 2 0000050141 00000 n 0000005093 00000 n %PDF-1.5 % You cannot submit claims for services received after your departure date. endstream endobj startxref HdUK!)S3*~ {Ucz$jRc4ZZ}Um2_%FnW.^?s10-5O]kZy\ R wYm0Tk+{S/lB! ;k`SEf?=M5D3:NL[- Y%l2r. . It comes complete with a debit card. 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$_jnRLZE,O!o4z9>PjVtUV2r?MXkoL`.`oQh JssY~GhOnjV(;3Q+ E5vOC^7KWui5/fXVEn::e[n=}e:x7QD:II{g#6/:^% >E *8x)R}3ABlVeIoB~YC7=g=_SId8X UZKX UT FLEX How to Use Your Flexible Spending Account. Posted 11/22/2019 Other News Local: (614) 228-2975 Customer Service: 1-888-864-8363 Fax: (614) 628-1777 SHARES. 0000021079 00000 n Ohio Police & Fire Pension Fund. trailer plans offer two major different flexible spending accounts focused on medical and dependent care expenses. The address for Your Spending Account (YSA), who handles the health care stipend reimbursements for OP&F retirees, has changed. Legal Information | Privacy Statement | About this Site 2023 Alight Solutions plc If you have elected to contribute to an HSA in 2022, you may also enroll in a Limited-Purpose FSA, even though both accounts may reimburse dental and vision expenses. 401 (k) Savings Plan. % You may also call 214-671-6947, Option 1. _:1UDU Box 661147 Dallas, TX 75266-1147 If faxing, be sure to place this form before your receipts and don't include a cover letter. zkeok:JWKmDAP#]5JGa:1Xptvoe"`lDX,RPF@\is T)0s_(,fI5"TYa-bYepFKdLH_b48 7T?CNO&>t".]0&? QFZ%us.7r?:7{7Zq u9s Blade misrepresents OP&F. A Flexible Spending Account (FSA) allows you to save money by using "before-tax" dollars to pay for certain health care and dependent care expenses. All rights reserved. 2.3k. xH&c$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" Dependent care reimbursement for costs paid to day care and elder care providers. 0000029729 00000 n 0000014590 00000 n Employee Assistance Program. 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. Click here to view the 2023 Active Employee Benefitspresentation. 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). KY"X_Th[[TEe-wW . 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 hrbenefits@dallascityhall.com. 0000014112 00000 n An HSA will be opened with Optum Bank for all newly enrolled HSA participants. 0000002565 00000 n Eligibility for the OP&F health care stipend: what to do when you have aQLE, Options available for retirement interviews, IRS using new versions of W-4P, W-4R for 2023 tax year, Member's Report Winter Newsletter Now Available. The card will hold Medical Spending and/or Limited-Purpose funds. The Medical Spending FSA, Limited Purpose FSA, and Dependent Care FSA are separate. If you enroll in the HDP during annual enrollment, your employer will make a one-time cash deposit to your HSA in January. As long as you maintain an account balance of $500 or more, you will not be charged the $1 monthly account maintenance fee. This is called the "use it or lose it" rule. Your Medical Spending FSA may be used to reimburse out-of-pocket medical expenses for you, your spouse, and your dependents. 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. Make a difference with your change - lead with ingenuity! 0000003758 00000 n Search Spending account jobs in Dallas, TX with company ratings & salaries. Your spending account is your checking account. You may also call 214-671-6947,Option 1. 1.8k salaries reported, updated at February 15, 2023. If your account balance is $2,000 or more, you can choose to invest funds look for details in your Welcome Kit. 70 0 obj <> endobj "b!bULZX |fX3X6{. 0000050534 00000 n 42 0 obj <> endobj 447 Flex Spending Account jobs available in Dallas, TX on Indeed.com. View all FAQs Savings Calculators Contact Optum Bank for details. Select the area you want to sign and click. Unlike Medical Spending FSAs and Limited- Purpose FSAs, Dependent Care FSAs may only reimburse expenses up to the amount you have contributed to date. The average salary for a account manager is $66,200 per year in Dallas, TX and $12,000 commission per year. Generally, large pharmacies, grocery stores, and box stores (i.e. The maximum annual Medical Spending FSA election is $2,750. Flexible Spending Accounts. Short term detention pending investigation as a consequence wisconsin form, How Do I Sign Vermont Finance & Tax Accounting Document, Help Me With Sign Vermont Finance & Tax Accounting Document, How Can I Sign Vermont Finance & Tax Accounting Document, Can I Sign Vermont Finance & Tax Accounting Document, How To Sign Vermont Finance & Tax Accounting Document. xref 0000003548 00000 n Spending Account Claim Form TOLL FREE: 888.868.FLEX (3539) myameriflex.com uYou can submit this data via myameriflex. Share on Facebook . A Health Care FSA (HCFSA) is a pre-tax benefit account that's used to pay for eligible medical, dental, and vision care expenses that are not covered by your health care plan or elsewhere. 0000021227 00000 n stream Install the signNow application on your iOS device. Document Type. :~va*$# R1M{D=AY[7A[-]#k Open the email you received with the documents that need signing. You must be enrolled in a high-deductible health plan to participate. See IRS Form 2441 Part III for details. endobj Dependent Care FSA funds must be used by December 31, 2022, and all claims must be filed by March 31, 2023. Create an account using your email or sign in via Google or Facebook. indicates you have dental insurance, proof HELPFUL HINTS If the receipt is handwritten, it must 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! Dallas, TX. 0000021193 00000 n 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. Add the PDF you want to work with using your camera or cloud storage by clicking on the. VIEWS. 0000029666 00000 n 4 0 obj 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 $7,750 if you have family coverage. by. __g 5j(]c;,mKK{x FG[ojl5kzW|S^}gdhg7_/b3-. 0000029844 00000 n startxref If you have a Your Spending Account online, you will be able to: Your FSA funds may be used for qualified medical costs like copays and deductibles, prescriptions and some over-the-counter medicines, dependent care and more. The grace period does not apply, and you may not roll these funds into a Limited Purpose FSA for 2022. 4 0 obj . xYF+*FQvxJIa The new address for YSA is: YSA will be sending official communication to members about the new address around during the first quarter of 2020. When you elect this benefit, you will enjoy a tax savings because the money for these items is deducted before taxes. Poll shows public support for police and fire, HB 512, OP&F hosts flag raising ceremony on Saturday Sept. 10, New app will help OP&F retirees manage Health Reimbursement Arrangement, Independent audit report shows OP&F is well run, Members Report Summer Newsletter now available, Thin Blue Line offers an ACA accredited plan that is stipend-eligible for OP&F retirees, OP&F letter to ORSC regarding HB 512 analysis, Aon rebranding to Alight Retiree Health Solutions, ORSC: OP&F outperformed own benchmarks and peers in 2021, Members Report Spring Newsletter Now Available. Apply to Customer Service Representative, Procurement Manager, Account Executive and more! }@2D8inx%'\#d;aT n$M4IAWDHl|"I@*x/#28}}?Qoe?IU6b3hM v':H,! 0000002001 00000 n Paid Family Leave. 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 Dallas, TX 75234 1 972-243-6191 ClubCorp on facebook; ClubCorp on instagram . This is the place to take action with Your Spending Account. Your flexible spending account (FSA) balance is yours to spend through December 31st of each year. hb``a``d`e`sXc`A3&0tt4 1Hx7@acq! ;LA(vrE3)!AQO!)^2c^" s? k&| Anb!uZ + %%EOF Open the doc and select the page that needs to be signed. <> Benefits of Using YourSpendingAccount. Ordinarily, these expenses are paid with after-tax money. 65 0 obj <> endobj Flexible Spending. Dallas County offers Flexible Spending Accounts (FSA) that allows you to use pretax salary dollars to pay for these expenses often at significant savings for your family. With an HCFSA, you use pre-tax dollars to pay for qualified out-of-pocket health care expenses. 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. 0000032931 00000 n You may be required to submit documentation of your expenditures. 0000000016 00000 n hbbd``b`@H~7 1s=q_* RqYW$$cAb@D+A\/ H2e`bd =@a 2023 Employees Retirement System of Texas. If you have specific questions about your benefits, please contact the Human Resources Department at(214) 653-6579or(214) 653-6161. 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. %PDF-1.5 And free to you. You can deposit funds in an HSA if: If you enroll in the HDP with an HSA, be sure to save receipts. 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. When you enroll in the Medical Spending or Limited Purpose FSA, you will receive a debit card fromHSA Bank in the mail. 0000050266 00000 n .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 An HSA is a savings account that you can use to help cover qualified health care expenses. . 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. 0000032520 00000 n Look through the document several times and make sure that all fields are completed with the correct information. 0000010668 00000 n Get Form 0000032172 00000 n 0000001416 00000 n Deep integrations streamline the experience at every step. HTK \* cJe17ioL}[8j ('96&|2"O+"q3vc$0n$v{&[zkT[R3jd3IC%I+I6;zN>*OfqQm~8M(0gngV>S(P4P Take a look inside. 0000021304 00000 n 952 salaries reported, updated at January 29, 2023. If you use the card at an Inventory Information Approval System (IIAS) merchant, the transaction will be approved at the point of sale. 0000002974 00000 n 0000266869 00000 n 0000240494 00000 n (512) 499-4200. 2 0 obj Records Building - 500 Elm Street, Suite 4100, Dallas, TX 75202. Disability Coverage. 5y0eKL0A8+CN"Hs8vWb5x4\fG^xU"8Aj0'+jmh9C:ZL:P5#pD_W@`ain&b@$bu? Your Spending Account jobs Sort by: relevance - date 271,102 jobs Fast hiring You'll evaluate vendors and issue purchase orders for goods and services, while relying on your experience, training, and judgment to plan and accomplish goals. No monthly maintenance fees. 414. The TexFlex health care FSA is administered by PayFlex Systems, Inc. To learn more about this FSA visit the TexFlex website or call TexFlex Customer Care toll-free at (866) 353 -9839 (TTY:711). If you are not eligible for HSA contributions for example, if you are enrolled in Medicare the seed money contribution will go to an LP-FSA. The TexFlex health care FSA is administered by PayFlex Systems, Inc. To learn more about this FSA visit the TexFlex website or call TexFlex Customer Care toll-free at (866)353-9839 (TTY:711). 3 0 obj BL@Ma 6,804 open jobs for Spending account in Dallas. Apply now for jobs that are hiring near you. 0 Additionally, any claim forms, communications or notices generated by YSA since the change have included the new address. Funds are available three business days after payroll deduction. 0000001690 00000 n TTY: 711 Toll-free: (877) 275-4377 2022 Medical, Dental, Vision and Prescription Active Employees. UT Dallas; UT El Paso; UT Permian Basin; UT Rio Grande Valley; UT San Antonio; UT Tyler; Health Institutions. endstream endobj 124 0 obj <>/Filter/FlateDecode/Index[5 65]/Length 20/Size 70/Type/XRef/W[1 1 1]>>stream 0000003723 00000 n 0000001858 00000 n HVnF|Wt8V`Hv^{PXfLOuuP@^,rOnEC'/\R@gg//hy<8 lN~N 0$xXOR~uJV:5y~DR s?gPo ;"U/|xu`VJ0|5wlrg8lU>?9x@7:H.>%e^q`{yu74u{~P@@' OLEB~(((N@K? FG U%KPc4WJ+ these need to be directed to hrbenefits@dallascityhall.com. $ bL4FMHjDS{=EnWPLDR*Z}TT#Z%YHg H-djcLYb-yBHMHVj6dg'W"XAHpFHicHF &?_$P $YlyEr,X)nCwew &(vIDk9@UUXWo59.AXVI&G{1Iu! Hs C:rtU* gq5M-SPLDIZ Keep your receipts and invoices. Apply. W\[m{f-h9P6pqU+&]Usv8/ |_Y6~^bN#d5Z) fw%jmQ!l*z5wjb`Xxkn`q=g x_b2MDWwHrnFI*h;~'?v`y+gh17e New claims forms will also be sent that include updated information. Benefits Service Center1500 Marilla StreetRoom 1D-SouthDallas, Texas 75201Phone: 214-671-6947, Option 1Fax: 214-659-7098. This is the place to take action with Your Spending Account. JOB DETAILS. HELPFUL INTS If the receipt is handwritten, it must include the service provider's signature. 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_'? 0000006921 00000 n Visit www.hsabank.com for a list of eligible expenses and to set up direct deposit for expense reimbursement. The IRS also allows catch-up contributions of $1,000 if you are age 55 or older. It will NOT hold Dependent Care funds. 0000013089 00000 n to Your Spending Account by fax or mail: Fax: (888) 211-9900 Mail: Your Spending Account P.O. Then, you may request reimbursement from the account when eligible expenses are incurred. Elevate your benefits and create more value for your customers. 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. Seed money is not offered to those who add coverage in the high-deductible plan as a result of a mid-year qualifying event. 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 90 0 obj <>/Filter/FlateDecode/ID[]/Index[65 44]/Info 64 0 R/Length 111/Prev 468601/Root 66 0 R/Size 109/Type/XRef/W[1 2 1]>>stream No minimum balance fees. See how we can help you reduce benefit costs, while delivering the best possible benefits experience. Your Spending Account P.O. You are not covered by another medical plan (unless it is an HDP) or a general-purpose FSA. endstream endobj 72 0 obj <>stream There are three variants; a typed, drawn or uploaded signature. <> Benefits Service Center1500 Marilla StreetRoom 1D-SouthDallas, Texas 75201Phone: 214-671-6947,Option 1Fax: 214-659-7098. Which plans are eligible for the OP&F stipend? After that, funds in excess of $570 will be lost so be sure to use them while you can. %PDF-1.3 POSTED. Claims are normally reimbursed within a week of HSA Bank receiving the claim. Build loyalty and strengthen relationships with a powerful lineup of industry-leading benefits solutions. Search Spending accounts jobs in Dallas, TX with company ratings & salaries. Once your account is opened, you will receive a Welcome Kit in the mail. 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 The plan helps you save money for health care and dependent care expenses. endstream endobj startxref your spending account dallas, tx. New claims forms will also be sent that include updated information. If you retire or otherwise leave City employment, your FSA funds will terminate on the date of your departure. Search CareerBuilder for Flexible Spending Account Plan Jobs in dallas,TX and browse our platform. 102 0 obj <>stream <<345A0DA70B0308418CEB8C1CDDA1C003>]/Prev 332151/XRefStm 1690>> You can also make pretax contributions to your HSA, up to IRS limits, to help your account grow. hbbd``b`q@ xsWF0+X D*@ !H N] !R D,X m7@D.P $,Av$dAV %PDF-1.6 % 0000042266 00000 n 2) Select "Documents and Forms" from the left-hand navigation menu. |ihb0re:U6dU+!YV7Bo2^#[ IPBCP")[n$e`OLO=}o@1]Y~cWTSW;SX. Select the document you want to sign and click. Start completing the fillable fields and carefully type in required information. kiL/o0[~A(V-+>%ieoUaooeyl \ /YRxFI. Dependent Care FSA is for dependent daycare only. hWn6wQd(eI%nWI3rq(Crn`f&bB(fbb l0\09NPL&1GA2ibt#RDK.V($;ER6``B?Cos[4#-`cng`d=ldKT-,l][`b]h|Y1&~W;F8K?8$MIL\/f`f,v[pjRI5[,fj Glassdoor is your resource for information about the Flexible Spending Account (FSA) benefits at Dallas Independent School District. Ordinarily, these expenses are paid with after-tax money. Box 661147 Dallas , TX 75266-1147 Effective January 1, 2020, the paragraph Titled Agent for Services of Legal Process in the Is this useful? 0000005496 00000 n 2022 Medical, Dental, Vision and Prescription Active Employees. 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. Spend it on your own terms. 0000037849 00000 n 6{3]b By law, any money left in your FSA(s) at the end of the year must be forfeited. 0000021016 00000 n Create your signature, and apply it to the page. Health Spending Accounts. Argentina Australia Belgi (Nederlands) Belgique (Franais) Brasil 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. 0. Job Type All; Full-Time; Part-Time; Contractor; Contract to Hire; Intern; Seasonal / Temp; Gig-Work; Date Posted 24 hours . No fees at TCCU ATM's. Spend your days in paradise or spend some love to a special someone. 0000029339 00000 n Ordinarily, these expenses are paid with after-tax money. Vision Plan. Dallas, TX. << /Length 5 0 R /Filter /FlateDecode >> Employees/Retirees can direct questions regarding benefits to the Prescription Drugs Plan. in dallas,TX. 1500 Marilla Street | 4FN | Dallas, TX 75201 Tel: 214-670-3659 Financial Transparency default- Financial Transparency Home Page 0000011883 00000 n It's free to use. Its county seat is Dallas, which is also the third-largest city in Texas and the ninth-largest city in the United States. 0000050063 00000 n 0000050612 00000 n To enroll, you elect an amount to be deducted pre-tax from your paycheck over 24 pay periods and deposited into your FSA. 0000328120 00000 n following: Questions regarding plan information for active/pre65: 214-556-0971. Traditional Health are Flexible Spending Account*); For dependent care, you must submit the expense through www.hsabank.com or by mail. Your Spending Account is a trademark . Members Report Fall Newsletter Now Available, OP&F Pre-Retirement Webinar video now available. Health care reimbursement for qualified out-of-pocket health care expenses that are not covered by insurance (i.e. 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. Sending Your Claim to Your Spending Account Send this form and your documentation to Your Spending Account by fax or mail. :Walgreens, Albertsons, Walmart) have IIAS capability. The entire annual amount you elect may be used at any time during the plan year and is available January 1. Find the extension in the Web Store and push, Click on the link to the document you want to design and select. Eligible expenses include deductibles, coinsurance and prescriptions. 0000059187 00000 n 0000014814 00000 n %%EOF Dallas County is a county located in the U.S. state of Texas. 0000050024 00000 n But first, you must participate in at least one account in order to have access to YourSpendingAccount. For new employees, these seed money contributions are available as soon as possible once your HDP becomes effective. LOCATION. Get access to thousands of forms. hb```V\af`0pHN@9(PsH 6s+s{}p=-z{FwYn^ (4hh@3V iq -tl2J870dNl`g*aQw\4uy4? h80%Em w0a 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. 7,514 Flexible Spending Account jobs available in Dallas, TX on Indeed.com. The benefits service center is available by phone and email to assist you with your benefit questions. The Section 125 Flexible Spending Account plan is administered by United Health Care (UHC). in interesting facts about sam houston. The entire annual amount you elect may be used at any time during the plan year and is available January 1. Flexible Spending Accounts (FSA) for Medical Expenses and/or Dependent Care. Withdrawals made for qualified expenses are also income tax-free. 0000041523 00000 n Pension Plans. If the merchant does not accept the card, submit the expense through the HSA Bank website (www.hsabank.com) or by mail. 0000009380 00000 n Go to the Chrome Web Store and add the signNow extension to your browser. 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. Details. Questions regarding Medicare Advantage Plan (MAPD): 877-299-1008. 0 Legal Information | Privacy Statement | About this Site 2023 Alight Solutions plc Dallas County is joined with a cooperative insurance group along with other city and county agencies. According to Aon and YSA, any mail received at the old address is automatically forwarded to the new address. hZrG}} Ey{S6` `$,?5VI&8O|=#dIn6%=3}vLEY0HeCtbLu*- This is an IRS rule. stream 0000014703 00000 n 0000041865 00000 n 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. 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 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. Decide on what kind of signature to create. 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. Fax: (512) 867-7438. .`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 0000268387 00000 n endstream endobj 71 0 obj <>stream 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. hbbbd`b`` f 0000014737 00000 n 125 0 obj <>stream The Dependent Care FSA is used to reimburse you for certain expenses for children under age 13, or individuals unable to care for themselves. to Your Spending Account by fax or mail: Fax: (888) 211-9900 Mail: Your Spending Account P.O. %PDF-1.4 % You are covered under an eligible high-deductible plan (like the HDP). Box 661147 Dallas, TX 75266-1147 Tel: (888) 611-5500 (toll free) Monday through Friday: 8 a.m. - 6 p.m. CT . Learn about Dallas Independent School District Flexible Spending Account (FSA), including a description from the employer, and comments and ratings provided anonymously by current and former Dallas Independent School District employees. Download your copy, save it to the cloud, print it, or share it right from the editor. 70 56 Contact Us | Help | Privacy Policy | ADA Statement. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> It is the second-most populous county in Texas and the ninth-most populous in the United States. 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 . 0000038905 00000 n 2a`bd r.#L^ 108 0 obj <>stream As of the 2010 census, the population was 2,368,139. endobj 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. 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 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. You will have 90 days following your departure date to submit claims for expenses incurred before you left. Retirement Plan with Employer Match . 0000050880 00000 n Questions regarding plan information for active/pre65: 214-556-0971. 5 days ago. to Your Spending Account by fax or mail: Fax: (888) 211-9900 Mail: Your Spending Account P.O. 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 Read our response. That insurance company is PEBC (Public Employee Benefits Cooperative). 0000238976 00000 n 3) After selecting "Documents and Forms" you will be directed to a screen that looks similar to the image below. Austin, Texas 78701-2982. how do i choose my seat on alaska airlines? Dallas County. Select the area where you want to insert your signature and then draw it in the popup window. To enroll, you elect an amount to be deducted pre-tax from your paycheck over 24 pay periods and deposited into your FSA. HELPFUL HINTS If the receipt is handwritten, it must include the service provider's signature. Glassdoor is your resource for information about the Flexible Spending Account (FSA) benefits at AT&T. Learn about AT&T Flexible Spending Account (FSA), including a description from the employer, and comments and ratings provided anonymously by current and former AT&T employees.