Flexible Spending Accounts

Flexible Spending Accounts (Section 125 Plan) allows employees to pay for health care costs with "pre-tax" income, thereby reducing payroll taxes and increasing their take-home pay. The Flexible Spending Accounts Plan for Peralta is provided through Pension Dynamics.

Pension Dynamics
Website: http://www.pensiondynamics.com/
Customer Service: 925-956-0505

FSA Resources

Special Enrollment Rights - Amendment A

Special Enrollment Rights - Amendment B

Benefit Summaries

2011 Flexible Benefits Plan Handbook

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Attached is the Flexible Benefits Plan Handbook.

File size: 177 K

FSA (Section 125) Information Brochure

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This is the Flexible Spending Accounts (Section 125) Information Brochure.

File size: 65 K

FSA (Section 125) Summary Plan Description

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This is the Flexible Spending Accounts (Section 125) Summary Plan Description.

File size: 138 K

FSA Forms

2012 FSA (Section 125) Enrollment Form

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This is the 2012 FSA (Section 125) Enrollment Form.

File size: 159 K

2011 FSA (Section 125) Enrollment Form

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This is the Flexible Spending Accounts (Section 125) Enrollment Form.

File size: 58 K

Direct Deposit Form

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Want your reimbursements with the convenience of having your reimbursement checks directly deposited into your checking and/or savings account? Sign up for direct deposit now!

File size: 62 K

FSA (Section 125) Claim Form

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This is the FSA Claim Form.

File size: 573 K

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