Employee Self Service - Benefits

Flexible Spending Accounts (BEFORE)The information displayed onthis screen will depend on theflexible spending account youhave chosen.If you do not want to enroll, click Backto Open Enrollment OptionsCAUTION!!Please make sureyou are enrolling inthe correct flexiblespending accountBefore Open Enrollment ends at 4:00p.m. on October 31, if you elect not toparticipate in this FSA after you haveSUBMITTED your enrollment, clickhere to cancel your enrollmentYou are no longer required tocomplete a Direct Deposit Formnor attach a cancelled checkunless you want your FSA depositsent to a different accountNOTE: If youparticipated in thisflexible spendingaccount during thecurrent year, you areprovided thatamount to assistyou in planning forthis enrollment.16