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(FSA) BenefitHelp Solutions Flexible Spending Account


For those participating in pre-taxed spending paycheck deductions for medical related expenses.  Reimbursement forms can be scanned and emailed to pcacla.

FORMS

BenefitHelp Solutions Enrollment (1.1 MB)
To enroll for pre-taxed Employee Insurance Premium Contribution, Flexible Health Care Spending and Dependent Care Spending. To be submitted to HR before September 30 of each year you wish to participate.
FSA Plan Amendment (130 KB)


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