125 Cafeteria Plan – List of Expense Eligibility
125 Cafeteria Plan – List of Expense Eligibility Click here
Placer County Office of Education
Section 125 Plan Administration
- CARES Act-FSA Flyer
- FSA Flyer for New Hires 2021-2022
- 125 Plan Benefit Summary 2020-2021
- 125 Plan Benefit Summary 2021-2022
- 125 Plan Enrollment Form 2021-2022
- Reimbursement Claim Form 2020-2021
- Reimbursement Claim Form 2021-2022
- Authorization for Direct Deposit 2020-2021
- Authorization for Direct Deposit 2021-2022
- Change of Status Form
- Change of Status Form – Premiums Only