Cafeteria / Flex Plan Election Form and Salary Reduction Agreement Sample Contracts

Cafeteria / Flex Plan Election Form and Salary Reduction Agreement
Cafeteria / Flex Plan Election Form and Salary Reduction Agreement • October 22nd, 2018
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IOWA ANNUAL CONFERENCE Cafeteria / Flex Plan Election Form and Salary Reduction Agreement
Cafeteria / Flex Plan Election Form and Salary Reduction Agreement • October 21st, 2019

YOU MUST COMPLETE AND RETURN THIS SHEET WITHIN 30 DAYS OF YOUR START DATE, IF YOU ELECT THIS OPTION. NO EXCEPTIONS. The FSA can be used for family members EVEN IF you have SINGLE health coverage.

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