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  • Hcfsa Claim Form 2020

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The Health Care Flexible Spending Account Program is a division of the Office of Labor Relations Tax-Favored Benefits Program HEALTH CARE FLEXIBLE SPENDING ACCOUNT HCFSA PROGRAM Claims Form 40 Rector Street 3rd Floor New York NY 10006 Tel 212 306-7760 TTY 212 306-7629 nyc.gov/olr 1 Important Instructions and Information A Plan Year is the calendar year January 1-December 31 or for a newly eligible employee any remaining portion thereof. A Grace P.

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You have until March 15, 2023 to use the remaining funds in your FSA and until March 31, 2023 to file a claim.

Most claims are processed within one to two business days after they are received and verified. Payments are sent shortly thereafter via direct deposit. You can update your direct deposit information any time through your online account.

You usually have to spend FSA money by the end of the year or by March 15 of the following year if you have a grace period. You might have until Dec. 31, 2022, to spend FSA money earmarked for 2021, but this is an exception.

Remember, to be accepted for a claim, you'll need one of the two accepted forms of paperwork: an itemized receipt, or an Explanation of Benefits (EOB) form (which is typically used for eligible medical services).

Submit Your Claim in One of These Ways Log in to your account. ... Once you have logged into your account, click Submit Receipt or Claim and select your Reimbursement Option. Follow the step-by-step instructions. Upload digital copies of your itemized receipts (and other documentation if needed).

What is the FSA deadline to submit claims? The deadline to submit claims is usually Dec. 31 of the plan year, but your employer can extend it. This so-called “run-out” period is the time in the new plan year that you have to submit expenses you incurred in the last plan year.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232