Get Stetson University Flex Spending Enrollment Form 2014-2025

Filling out the Stetson University Flex Spending Enrollment Form online can streamline your enrollment process. This guide provides clear instructions on completing each section efficiently and accurately.

Follow the steps to complete the enrollment form online.

1. Click ‘Get Form’ button to obtain the form and access it in your preferred editing tool.
2. Begin by entering your name, including your last name, first name, and middle initials in the designated fields. Next, provide your employment date and the effective date of the benefits.
3. Fill in your social security number and office phone number to ensure proper identification and communication.
4. Complete the address section with your location details, including city, state, and ZIP code.
5. To include family members, list their names, cities, states, ZIP codes, dates of birth, and respective relationships in the provided area.
6. Indicate the benefits you wish to pay through tax-free salary reduction by checking the appropriate boxes for medical and dependent care expenses. Enter your desired annual amount for each benefit type, ensuring it falls within the specified limits.
7. Calculate the appropriate pay period amount based on your annual contributions and the frequency of your pay schedule.
8. Review the important guidelines to understand your responsibilities regarding the Flex Reimbursement Account, including the understanding of forfeiture of unused funds.
9. Sign and date the form to confirm your participation and understanding of the flex spending program.
10. After completing the form, save your changes and consider downloading or printing a copy for your records. You may also share the form with your employer as required.

Complete your enrollment for the Stetson University Flex Spending program online today!