FSA

FLEXIBLE SPENDING ACCOUNTS
UnitedHealthcare (FSA) Group #: 709593 Contact: (800) 510-4846 Website: www.myUHC.com Flexible Spending Account(FSA) - Summary Plan Description(SPD) Flexible Spending Account(FAQ'S) Health Care FSA Worksheet Dependent Care FSA Worksheet Over-the-Counter (OTC) Drug List: qualified as expenses under the Health FSA account	FORMS AND BILLING
	Flexible Spending Account Enrollment Form 1112: for both Health and Dependent Care Accounts (PY 11/12) FSA-UHC Claim Form Important Deadline for FSA claims submission: PY 11/12 - September 30, 2012* *Terminated employees must submit FSA claim form within 90 days from the last day of coverage. FSA UHC Direct Deposit Request Form

Last Updated: Tuesday, October 4, 2011 at 1:51:23 PM
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