DCAP Enrollment form for 2014 Enroll in DCAP benefits as a new hire of\r during the 2014 year with a qualifying event.
Return the completed form to your payroll coordinator.
2014 DCAP Participants Re-Enroll in benefits for 2015 on FSA website during the Fall 2014 Open Enrollment period.
Abbreviated Re-Enrollment Instructions (Not currently available)
Comprehensive Re-Enrollment Instruction (Not currently available)
DCAP Claim Form : Use this form to submit dependent care-related claims for reimbursement.
Flexible Spending Account Status Change form – use this form to increase or decrease your contribution to, or terminate your election in Flexible Spending Account within 30 days of a qualifying event during the plan year. You must submit this form with supporting documentation within 30 days of the qualifying event: change in legal marital status; change in number of dependents; change in employment status; change in work schedule that affects your eligibility for the program; change in dependent’s FSA eligibility, or a judgment decree pertaining to your spouse or child.
This information provided by the Group Insurance Commission.