Before the plan anniversary January 1, or within 30 days of your original employment date with Commonwealth Payroll and HR, you may select a portion of your salary to be deducted from each paycheck for the Flexible Benefit Plan. Employees who wish to continue their participation in the Flex Plan must re-enroll every year prior to the effective date. Simply follow the steps below to enroll.

Step 1

Download and print the FSA Enrollment Kit

Step 2

• Using the worksheet provided, calculate the amount of eligible expenses you plan to have for your entire plan year.
• Please use our employee calculator to assist you in calculating savings.

Step 3

Give your completed Enrollment Form and Direct Deposit Authorization to your Human Resources Department.