2015 DCAP Enrollment form for new participants - Enroll in DCAP benefits as a 2015 new hire.
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.
2015 DCAP Participants Re-Enroll in benefits for 2016 on FSA website during the Fall 2015 Open Enrollment period.
Open Enrollment Re-enrollment Instructions (not yet available). 2015 participants will re-enroll for 2016; these instructions will explain the online re-enrollment steps.
2015 Calendar Year Flexible Spending Account handbook Contact ASIFlex; 1-800-659-3035
This information provided by the Group Insurance Commission .
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