Questions about the Tax Forfeiture Class-Action Settlement? Visit MNTaxForfeitureSettlement.com or call 1-833-709-0093.
NOTE: If you and your family members only health coverage is with St. Louis County/ARC you can safely answer no. If you are unsure call 218-725-5056 to inquire. If you answer yes, you will be limited to dental and vision reimbursements for all or part of the year.
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Note: This flex account type is also known as a Health FSA or Health Flexible Spending Account. You can reimburse eligible medical expenses incurred by your or your family members.
Note: This flex account type is also called a DCAP or dependent care assistance program. The only eligible expense in this account type is daycare.
Once you have reviewed the information and checked the box above, please press the "Submit" button below to submit your form. The form will be electronically transmitted to the Payroll Division - Auditor's Office, Duluth Courthouse, Room 201 for approval and submission to SuperiorUSA. SuperiorUSA will not accept Flex Election Forms directly from employees.
You will receive immediate confirmation upon submitting this form. If you are not taken to a confirmation page your form has not been submitted. Please scroll up and check for errors. Once you have fixed the errors hit submit again.