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For dental expenses, please use the Dental and Health Spending Account Claim Form. • Please print clearly and be sure all sections are complete to avoid delays in processing your claim. • Attach the original receipt for each expense claimed and keep photocopies for your records. • Sign on page 2 and mail your claim to the address at the ...

Part I: Read the Fine Print: Analyze the health benefits form and answer the questions that follow. Continues on Next Page. ... Answer: 2. d. Once he hits his annual deductible of $800, he will incur no additional costs forhealth care …

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