DCAP Enrollment form for 2014 Enroll in DCAP benefits for 2014 during the October 14 - December 13, 2013 open enrollment period.
DCAP Enrollment Form for 2013 : New Employees can enroll as a new hire. Eligible Employees can enroll during the 2013 year with a qualifying event. Return the completed form to your payroll coordinator.
2013 DCAP Participants Re-Enroll in benefits for 2014 on this Benefits Strategies website during the October 14 - December 13, 2013 Open Enrollment period.
Comprehensive Re-Enrollment Instruction file size 3MB
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.