Open the doc and select the page that needs to be signed. See how we can help you reduce benefit costs, while delivering the best possible benefits experience. Read our response. Find the extension in the Web Store and push, Click on the link to the document you want to design and select. 0000032520 00000 n prescription and office visit co-pays, lab fees, glasses, contacts, dental services, over-the-counter products, etc.). You may be required to submit documentation of your expenditures. A Flexible Spending Account (FSA) allows you to save money by using "before-tax" dollars to pay for certain health care and dependent care expenses. xref All other questions that cannot be answered by either of With an HCFSA, you use pre-tax dollars to pay for qualified out-of-pocket health care expenses. Document Type. Unlike Medical Spending FSAs and Limited- Purpose FSAs, Dependent Care FSAs may only reimburse expenses up to the amount you have contributed to date. Box 64030 The Woodlands, TX 77387-4030 If faxing, be sure to place this form before your receipts and don't include a cover letter. 0000002001 00000 n %%EOF Health care reimbursement for qualified out-of-pocket health care expenses that are not covered by insurance (i.e. 0000000016 00000 n Questions regarding Medicare Advantage Plan (MAPD): 877-299-1008 All other questions that cannot be answered by either of these need to be directed to hrbenefits@dallascityhall.com. 0000041865 00000 n Spend it on your own terms. your spending account dallas, tx. 0000029729 00000 n Flexible Spending Accounts (FSA) for Medical Expenses and/or Dependent Care. SHARES. If you have a Your Spending Account online, you will be able to: Health Spending Accounts. 0 Learn about Dallas Independent School District Flexible Spending Account (FSA), including a description from the employer, and comments and ratings provided anonymously by current and former Dallas Independent School District employees. 0000021193 00000 n endstream endobj startxref VIEWS. But first, you must participate in at least one account in order to have access to YourSpendingAccount. hZrG}} Ey{S6` `$,?5VI&8O|=#dIn6%=3}vLEY0HeCtbLu*- A TexFlexSM health care flexible spending account (FSA) is available to benefits-eligible employees not enrolled in Consumer Directed HealthSelectSM. Posted 6 days ago Machine Operator Positions Futamura 3.2 Topeka, KS From $30 an hour Full-time Day shift + 2 Note: If you currently participate in the Medical Spending FSA and elect the HSA medical plan for 2022, your FSA funds will expire on December 31, 2021. 0000008111 00000 n Which plans are eligible for the OP&F stipend? 0000014112 00000 n hbbbd`b`` f 8,033 open jobs for Spending accounts in Dallas. When you elect this benefit, you will enjoy a tax savings because the money for these items is deducted before taxes. &VkXHt9-@uO4,(+z(6 %% 0000037849 00000 n By law, any money left in your FSA(s) at the end of the year must be forfeited. 0000001690 00000 n If you retire or otherwise leave City employment, your FSA funds will terminate on the date of your departure. Additionally, any claim forms, communications or notices generated by YSA since the change have included the new address. 0000021227 00000 n It comes complete with a debit card. 0000059187 00000 n When you enroll in the Medical Spending or Limited Purpose FSA, you will receive a debit card fromHSA Bank in the mail. The information below outlines the two types of Flexible Spending (FLEX) Accounts provided to employees. 0000050063 00000 n "b!bULZX |fX3X6{. Get access to thousands of forms. Dallas, TX. endstream endobj startxref 0000014814 00000 n 0000050612 00000 n Dallas County. Elevate your benefits and create more value for your customers. You will have 90 days following your departure date to submit claims for expenses incurred before you left. Keep your receipts and invoices. 5 days ago. 3 0 obj You may also call 214-671-6947,Option 1. Apply now for jobs that are hiring near you. Dental Plan. The entire annual amount you elect may be used at any time during the plan year and is available January 1. 2.3k. hb```V\af`0pHN@9(PsH 6s+s{}p=-z{FwYn^ (4hh@3V iq -tl2J870dNl`g*aQw\4uy4? Search Spending account jobs in Dallas, TX with company ratings & salaries. Dependent Care FSA is for dependent daycare only. hb``a``d`e`sXc`A3&0tt4 1Hx7@acq! ;LA(vrE3)!AQO!)^2c^" s? k&| Anb!uZ + 0000013089 00000 n Box 661147 Dallas, TX 75266-1147 If faxing, be sure to place the form before your itemized receipts and don't include a cover letter. Dependent Care FSA funds must be used by December 31, 2022, and all claims must be filed by March 31, 2023. Your spending account is your checking account. 0000014703 00000 n This guide will help you get started with Your Spending Account (YSA) a website you can use to manage your retiree Health Reimbursement Account (HRA) whenever and wherever it's most convenient for you. TTY: 711 A Health Care FSA (HCFSA) is a pre-tax benefit account that's used to pay for eligible medical, dental, and vision care expenses that are not covered by your health care plan or elsewhere. HELPFUL HINTS If the receipt is handwritten, it must include the service provider's signature. %PDF-1.5 % %%EOF This is the place to take action with Your Spending Account. Dallas, TX. HlN1E+c'N^-TV3h/:L8cy The grace period does not apply, and you may not roll these funds into a Limited Purpose FSA for 2022. According to Aon and YSA, any mail received at the old address is automatically forwarded to the new address. 0000001416 00000 n 0000014590 00000 n The PEBC HDP is an HSA-eligible plan. 4 0 obj }@2D8inx%'\#d;aT n$M4IAWDHl|"I@*x/#28}}?Qoe?IU6b3hM v':H,! Representatives are available to assist you Monday through Friday, 7 a.m. to 7 p.m. CT and Saturday, 9 a.m. to 2 p.m. CT. . .Li{~y:^}I|fT;_5JCZcp|3!Sru~Z pMgVi5nmh9uz^n>"nx}ZgCNgug*dwFq*&L6Q{T0;`fdOw#0Lq]HG6MS9GtAlxDCqqe[:Ql:8yAf_R]-Tgr:`D:$1M"XhjOPdfw{Zh)X^a`i%P5/^boB5cwuy?dzaF81:ayBWIe'h#]TMd>mP0 &/6TkzHT=AVtQh/KV : jv4q>#Gz8vM)/ral0'IlN,wj{{_6iznq>C,9K{R\:OWmKhFvm EZu ph` F Ohio Police & Fire Pension Fund. 0000002565 00000 n endobj 0 0000003723 00000 n x]Ks7Ja{ S1T)(eY,':{PllMn`( h/[(hO;Vh]J(QKSVZW>Tztrp|Xo=ATteUGGyYvwx^.-nw)jfYY]s|36tQLi86lNiO77opzv~c*Tf6vZKjx=xC.-uiSJ[jl- 6ZVA>>q&jP6b}iR4iHd(Cpu\e_'? <> 2 0 obj Phone: (214) 653-7638 Fax: (214) 653-7608. No monthly maintenance fees. There are three variants; a typed, drawn or uploaded signature. Glassdoor is your resource for information about the Flexible Spending Account (FSA) benefits at AT&T. Learn about AT&T Flexible Spending Account (FSA), including a description from the employer, and comments and ratings provided anonymously by current and former AT&T employees. You are covered under an eligible high-deductible plan (like the HDP). The TexFlex health care FSA is administered by PayFlex Systems, Inc. To learn more about this FSA visit the TexFlex website or call TexFlex Customer Care toll-free at (866) 353 -9839 (TTY:711). endobj Visit www.hsabank.com for a list of eligible expenses and to set up direct deposit for expense reimbursement. An HSA will be opened with Optum Bank for all newly enrolled HSA participants. You are not covered by another medical plan (unless it is an HDP) or a general-purpose FSA. Select the area where you want to insert your signature and then draw it in the popup window. 7,514 Flexible Spending Account jobs available in Dallas, TX on Indeed.com. Questions regarding Medicare Advantage Plan (MAPD): 877-299-1008. This benefit allows you to deduct money from your paychecks for: For additional information, please visit the Public Employees Benefits Cooperative (PEBC)website atwww.pebcinfo.com. Paid Family Leave. Records Building - 500 Elm Street, Suite 4100, Dallas, TX 75202 Phone: (214) 653-7638 Fax: (214) 653-7608 The out-of-pocket medical and dependent care expenses that you pay each year can quickly add up to hundreds, or even thousands, of dollars. Box 661147 Dallas, TX 75266-1147 If faxing, be sure to place this form before your receipts and don't include a cover letter. That insurance company is PEBC (Public Employee Benefits Cooperative). to Your Spending Account by fax or mail: Fax: (888) 211-9900 Mail: Your Spending Account P.O. Skip to Content Jobs Upload/Build Resume . KY"X_Th[[TEe-wW 0000014737 00000 n Apply to Administrative Assistant and more! An HSA is a savings account that you can use to help cover qualified health care expenses. 401 (k) Savings Plan. 952 salaries reported, updated at January 29, 2023. _:1UDU The card will hold Medical Spending and/or Limited-Purpose funds. endstream endobj 72 0 obj <>stream Members Report Fall Newsletter Now Available, OP&F Pre-Retirement Webinar video now available. Retirement Plan with Employer Match . To comply with HSA rules, your Limited- Purpose FSA may only be used to reimburse out-of-pocket dental and vision expenses for you, your spouse, and your dependents. 70 0 obj <> endobj BL@Ma You must be enrolled in a high-deductible health plan to participate. indicates you have dental insurance, proof HELPFUL HINTS If the receipt is handwritten, it must If you use the card at an Inventory Information Approval System (IIAS) merchant, the transaction will be approved at the point of sale. 0000050024 00000 n If the expense will be considered for insurance reimbursement, try to wait until you receive the Explanation of Benefits (EOB) from the insurance company to be sure that the debit card transaction is for the correct out-of-pocket amount. Eligible expenses include deductibles, coinsurance and prescriptions. 0000032931 00000 n 1.8k salaries reported, updated at February 15, 2023. This is called the "use it or lose it" rule. following: Questions regarding plan information for active/pre65: 214-556-0971. It will NOT hold Dependent Care funds. 0000268387 00000 n 77 0 obj <>/Filter/FlateDecode/ID[<7C0EF33EDAADE1C3B0D9FABD37FA2AA8>]/Index[42 61]/Info 41 0 R/Length 138/Prev 119686/Root 43 0 R/Size 103/Type/XRef/W[1 2 1]>>stream endobj Dallas County offers Flexible Spending Accounts (FSA) that allows you to use pretax salary dollars to pay for these expenses often at significant savings for your family. trailer Claims are normally reimbursed within a week of HSA Bank receiving the claim. __g 5j(]c;,mKK{x FG[ojl5kzW|S^}gdhg7_/b3-. % Your Spending Account is a trademark . Blade misrepresents OP&F. . Life and Accident Plans. The TexFlex health care FSA is administered by PayFlex Systems, Inc. To learn more about this FSA visit the TexFlex website or call TexFlex Customer Care toll-free at (866)353-9839 (TTY:711). 0000038345 00000 n Medical Spending/Limited Purpose reimbursement requests, as well as debit card transaction documentation, can be sent electronically, by fax, or by mail to HSA Bank. Argentina Australia Belgi (Nederlands) Belgique (Franais) Brasil 0000328120 00000 n Ordinarily, these expenses are paid with after-tax money. endstream endobj 71 0 obj <>/Metadata 3 0 R/Pages 2 0 R/StructTreeRoot 5 0 R/Type/Catalog/ViewerPreferences<>>> endobj 72 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 73 0 obj <> endobj 74 0 obj <> endobj 75 0 obj [/Separation/PANTONE#20137#20C 86 0 R<>] endobj 76 0 obj [/ICCBased 87 0 R] endobj 77 0 obj <>stream UT Dallas; UT El Paso; UT Permian Basin; UT Rio Grande Valley; UT San Antonio; UT Tyler; Health Institutions. 0000011883 00000 n /YRxFI. %PDF-1.5 The Section 125 Flexible Spending Account plan is administered by United Health Care (UHC). The IRS also allows catch-up contributions of $1,000 if you are age 55 or older. However, there is a grace period ending March 15, 2023to use your 2022Medical Spending FSA or Limited Purpose FSA dollars on eligible expenses. Here's what you'll learn: d How to access your account endstream endobj 124 0 obj <>/Filter/FlateDecode/Index[5 65]/Length 20/Size 70/Type/XRef/W[1 1 1]>>stream Details. The Dependent Care FSA is used to reimburse you for certain expenses for children under age 13, or individuals unable to care for themselves. %PDF-1.4 % Apply to Customer Service Representative, Procurement Manager, Account Executive and more! HTK \* cJe17ioL}[8j ('96&|2"O+"q3vc$0n$v{&[zkT[R3jd3IC%I+I6;zN>*OfqQm~8M(0gngV>S(P4P Disability Coverage. Your Spending Accounts PO Box 661147 Dallas, TX 75266-1147 YSA will be sending official communication to members about the new address around during the first quarter of 2020. 0000266869 00000 n 0000050141 00000 n Once your account is opened, you will receive a Welcome Kit in the mail. Search Spending accounts jobs in Dallas, TX with company ratings & salaries. Old Red Museum of Dallas County History and Culture, Community Supervision and Corrections (Adult Probation), Department of Unincorporated Area Services, Office of Homeland Security and Emergency Management, Dallas County Unincorporated Area Strategy, Vehicle Registration - VTR 68-A Inspections, Dallas Area Rapid Transit (DART) Pass Program, Colonial Life Voluntary Supplemental Insurance, Public Employees Benefits Cooperative (PEBC). These benefits are available to full time employees only. Search CareerBuilder for Flexible Spending Account Plan Jobs in dallas,TX and browse our platform. Your Spending Account P.O. HlTI0qgd{i*1%Mi9FzyJhTPISs7B YkO%G, (^q =75@y8)z;$|$[PTf^ kD9J #zn_1_[nF N /qR41>_,C69"YE-[akck}Ut\(:"jYMQGCPk9rtEua? =7XA2|{.X0i)i 414. HVnF|Wt8V`Hv^{PXfLOuuP@^,rOnEC'/\R@gg//hy<8 lN~N 0$xXOR~uJV:5y~DR s?gPo ;"U/|xu`VJ0|5wlrg8lU>?9x@7:H.>%e^q`{yu74u{~P@@' OLEB~(((N@K? FG U%KPc4WJ+ If youre are enrolled in Consumer Directed HealthSelect and are interested in setting aside money on a pre-tax basis for eligible dental and vision expenses, check out the TexFlex limited-purpose FSA. 0000021304 00000 n And free to you. Make a difference with your change - lead with ingenuity! 0000002974 00000 n Pension Plans. Look through the document several times and make sure that all fields are completed with the correct information. 108 0 obj <>stream stream Poll shows public support for police and fire, HB 512, OP&F hosts flag raising ceremony on Saturday Sept. 10, New app will help OP&F retirees manage Health Reimbursement Arrangement, Independent audit report shows OP&F is well run, Members Report Summer Newsletter now available, Thin Blue Line offers an ACA accredited plan that is stipend-eligible for OP&F retirees, OP&F letter to ORSC regarding HB 512 analysis, Aon rebranding to Alight Retiree Health Solutions, ORSC: OP&F outperformed own benchmarks and peers in 2021, Members Report Spring Newsletter Now Available. |ihb0re:U6dU+!YV7Bo2^#[ IPBCP")[n$e`OLO=}o@1]Y~cWTSW;SX. The new address for YSA is: YSA will be sending official communication to members about the new address around during the first quarter of 2020. %PDF-1.3 It's free to use. Benefits Service Center1500 Marilla StreetRoom 1D-SouthDallas, Texas 75201Phone: 214-671-6947,Option 1Fax: 214-659-7098. If you enroll in the HDP during annual enrollment, your employer will make a one-time cash deposit to your HSA in January. 2) Select "Documents and Forms" from the left-hand navigation menu. Glassdoor is your resource for information about the Flexible Spending Account (FSA) benefits at Dallas Independent School District. %PDF-1.6 % Prescription Drugs Plan. Your Spending Account P.O. 1500 Marilla Street | 4FN | Dallas, TX 75201 Tel: 214-670-3659 Financial Transparency default- Financial Transparency Home Page You cannot be claimed as a dependent on someone elses tax return. Your Spending Account! endstream endobj 71 0 obj <>stream Records Building - 500 Elm Street, Suite 4100, Dallas, TX 75202Phone: (214) 653-7638 Fax: (214) 653-7608. Contact Optum Bank for details. 0000050534 00000 n Legal Information | Privacy Statement | About this Site 2023 Alight Solutions plc 0000021079 00000 n Ordinarily, these expenses are paid with after-tax money. <>>> :g5]0h>*4^"m$Ma}Y_n"a5Bz9ZKCN+1]UWTg^YzClC:wF2v sgT3jhxK.r1vt;;m>.#|cw[ZPj}:{+r&pCsaZzL)[_}P? Short term detention pending investigation as a consequence wisconsin form, How Do I Sign Vermont Finance & Tax Accounting Document, Help Me With Sign Vermont Finance & Tax Accounting Document, How Can I Sign Vermont Finance & Tax Accounting Document, Can I Sign Vermont Finance & Tax Accounting Document, How To Sign Vermont Finance & Tax Accounting Document. All rights reserved. Toll-free: (877) 275-4377 Traditional Health are Flexible Spending Account*); .`9\Bs(|+p*l8=+)n'W=rj94 .E~u==&$b4lny^|l *DgN69pvhRk'[y|~^y,x1T`TM~7rn>:4ee&:.sX1&9EX!YT0rV)E^b,q$YcaSJT [0fURCQ"5Z 0000029339 00000 n Dallas County is a county located in the U.S. state of Texas. xYF+*FQvxJIa Deep integrations streamline the experience at every step. UT FLEX How to Use Your Flexible Spending Account. Your FSA funds may be used for qualified medical costs like copays and deductibles, prescriptions and some over-the-counter medicines, dependent care and more. If you are not eligible for HSA contributions for example, if you are enrolled in Medicare the seed money contribution will go to an LP-FSA. View all FAQs Savings Calculators Ordinarily, these expenses are paid with after-tax money. Eligibility for the OP&F health care stipend: what to do when you have aQLE, Options available for retirement interviews, IRS using new versions of W-4P, W-4R for 2023 tax year, Member's Report Winter Newsletter Now Available. 447 Flex Spending Account jobs available in Dallas, TX on Indeed.com. Records Building - 500 Elm Street, Suite 4100, Dallas, TX 75202. Box 661147 Dallas, TX 75266-1147 Tel: (888) 611-5500 (toll free) Monday through Friday: 8 a.m. - 6 p.m. CT . by. No minimum balance fees. Legal Information | Privacy Statement | About this Site 2023 Alight Solutions plc Share on Facebook . Vision Plan. 0000240494 00000 n Create an account using your email or sign in via Google or Facebook. You cannot submit claims for services received after your departure date. 6{3]b You may also call 214-671-6947, Option 1. Its county seat is Dallas, which is also the third-largest city in Texas and the ninth-largest city in the United States. 0000038905 00000 n plans offer two major different flexible spending accounts focused on medical and dependent care expenses. 42 0 obj <> endobj 0000238976 00000 n 0 102 0 obj <>stream 0000001858 00000 n hbbd``b`@H~7 1s=q_* RqYW$$cAb@D+A\/ H2e`bd  =@a The average salary for a account executive is $74,443 per year in Dallas, TX and $20,000 commission per year. Your Medical Spending FSA may be used to reimburse out-of-pocket medical expenses for you, your spouse, and your dependents. zkeok:JWKmDAP#]5JGa:1Xptvoe"`lDX,RPF@\is T)0s_(,fI5"TYa-bYepFKdLH_b48 7T?CNO&>t".]0&? If your account balance is $2,000 or more, you can choose to invest funds look for details in your Welcome Kit. Fax: 1-888-211-9900 Mail: Your Spending Account P.O. If you have elected to contribute to an HSA in 2022, you may also enroll in a Limited-Purpose FSA, even though both accounts may reimburse dental and vision expenses. HELPFUL INTS If the receipt is handwritten, it must include the service provider's signature. how do i choose my seat on alaska airlines? $ bL4FMHjDS{=EnWPLDR*Z}TT#Z%YHg H-djcLYb-yBHMHVj6dg'W"XAHpFHicHF &?_$P $YlyEr,X)nCwew &(vIDk9@UUXWo59.AXVI&G{1Iu! Hs C:rtU* gq5M-SPLDIZ 0000014230 00000 n JOB DETAILS. The maximum annual Medical Spending FSA election is $2,750. Posted 11/22/2019 Other News Local: (614) 228-2975 Customer Service: 1-888-864-8363 Fax: (614) 628-1777 All Rights Reserved. 0000020691 00000 n Install the signNow application on your iOS device. A Flexible Spending Account (FSA) allows you to save money by using "before-tax" dollars to pay for certain health care and dependent care expenses. 0000005093 00000 n O;T 0000042266 00000 n Click here to view the 2023 Active Employee Benefitspresentation. Unlike an FSA, there is no use it or lose it rule and it comes with triple-tax benefits: For 2023, you can contribute $3,850 through payroll deduction if you have individual coverage or $7,750 if you have family coverage. Use professional pre-built templates to fill in and sign documents online faster. Sending Your Claim to Your Spending Account Send this form and your documentation to Your Spending Account by fax or mail. :~va*$# R1M{D=AY[7A[-]#k 2023 Employees Retirement System of Texas. Generally, large pharmacies, grocery stores, and box stores (i.e. Flexible Spending Accounts. 0000003758 00000 n For new employees, these seed money contributions are available as soon as possible once your HDP becomes effective. Dallas, TX 75234 1 972-243-6191 ClubCorp on facebook; ClubCorp on instagram . >E *8x)R}3ABlVeIoB~YC7=g=_SId8X UZKX The entire annual amount you elect may be used at any time during the plan year and is available January 1. (512) 499-4200. After that, funds in excess of $570 will be lost so be sure to use them while you can. New claims forms will also be sent that include updated information. 0000029844 00000 n 5y0eKL0A8+CN"Hs8vWb5x4\fG^xU"8Aj0'+jmh9C:ZL:P5#pD_W@`ain&b@$bu? 125 0 obj <>stream to Your Spending Account by fax or mail: Fax: (888) 211-9900 Mail: Your Spending Account P.O. 0. LOCATION. 0000041523 00000 n Spending Account Claim Form TOLL FREE: 888.868.FLEX (3539) myameriflex.com uYou can submit this data via myameriflex. Download your copy, save it to the cloud, print it, or share it right from the editor. Employee Assistance Program. Austin, Texas 78701-2982. 0000003548 00000 n Responsible Office(s) Employee Benefits. @=2 6 For dependent care, you must submit the expense through www.hsabank.com or by mail. To enroll, you elect an amount to be deducted pre-tax from your paycheck over 24 pay periods and deposited into your FSA. Questions regarding plan information for active/pre65: 214-556-0971. Employer Name: Employee Name: SSN: Phone: Email: Medical Expense Claims (FSA, or Employer funded HRA) Dependent Day Care Claims Account Type FSA HRA Date Expense Incurred Name of Person Receiving Medical Service Provider Name startxref Flexible Spending Accounts. 0000009380 00000 n It is the second-most populous county in Texas and the ninth-most populous in the United States. Get Form Then, you may request reimbursement from the account when eligible expenses are incurred. Jj>`avp 78L` :Walgreens, Albertsons, Walmart) have IIAS capability. % Dependent care reimbursement for costs paid to day care and elder care providers. Go to the Chrome Web Store and add the signNow extension to your browser. Your flexible spending account (FSA) balance is yours to spend through December 31st of each year. New claims forms will also be sent that include updated information. 0000010668 00000 n Fax: (512) 867-7438. 0000050266 00000 n Apply. No fees at TCCU ATM's. Spend your days in paradise or spend some love to a special someone. endstream endobj 70 0 obj <>stream << /Length 5 0 R /Filter /FlateDecode >> POSTED. 0000032172 00000 n 6,804 open jobs for Spending account in Dallas. FLEXIBLE SPENDING ACCOUNTS (FSA) The Flexible Spending Accounts (FSAs) allow you to pay for eligible healthcare and dependent care expenses using tax-free dollars - money taken out of your paycheck before income or Social Security taxes have been calculated. Smart-Choice The Woodlands, TX 77387 Health Savings Account administration Smart-Choice Accounts PO Box 64009 -4009 Human Resources Centre (HRC): 1-888-927-7700 BMO U.S. Benefits Enrolling and making changes to your annual . This is an IRS rule. 0000006921 00000 n This is the place to take action with Your Spending Account. 65 0 obj <> endobj The maximum annual Limited-Purpose FSA election is $2,750. 0000050880 00000 n 7R=nq(C(k[B%xpi 21 y?|/zg}v6eU$7H-BA9Tc.^FLx9X}*O:#f#AHCG&z7F 5$Bw 85K2qEN/F&&pf .\4h`.K"$n> 8/NkWu5W[Y% BxBifZiKb[[3S,uStWy|Kt355e9mwg\ruuh:zv$3_}D4t0jx&]Lim&ad|yQ2B$z^v:JA%NQM$_jnRLZE,O!o4z9>PjVtUV2r?MXkoL`.`oQh JssY~GhOnjV(;3Q+ E5vOC^7KWui5/fXVEn::e[n=}e:x7QD:II{g#6/:^% 90 0 obj <>/Filter/FlateDecode/ID[]/Index[65 44]/Info 64 0 R/Length 111/Prev 468601/Root 66 0 R/Size 109/Type/XRef/W[1 2 1]>>stream 2022 Medical, Dental, Vision and Prescription Active Employees. Select the area you want to sign and click. endstream endobj 66 0 obj <>>> endobj 67 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 68 0 obj <>stream QFZ%us.7r?:7{7Zq u9s
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