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Government forms
Form GB02 Flexible Spending Arrangement Enrollment/Stop Form - Oct 2022

Government forms

Form GB02 Flexible Spending Arrangement Enrollment/Stop Form - Oct 2022

Enrollment stop form for flexible spending arrangement with a limit of 3050 for the year 2023.

Originally published by: groupbenefits.org

Used 26 times

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Frequently asked questions

GB02 Flexible Spending Arrangement Enrollment/Stop Form is a registration form for individuals with a flexible spending arrangement. This form is used to request an enrollment stop and has a limit of $3050 for the year 2023. It is published by Group Benefits and can be submitted directly to them. Fill in this form online free with Lumin to easily manage your flexible spending arrangement.
Individuals with flexible spending arrangement.
The completed Form GB02 Flexible Spending Arrangement Enrollment/Stop Form should be submitted to Group Benefits.

Used 26 times