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Get Personal Use Statement 2017-2024

G: • I will only use my HCSAccount to pay for IRS-qualified expenses, permitted under the State of New York’s plan, incurred by me, my spouse and my IRS-eligible dependents • I will exhaust all other sources of reimbursement, including those provided under my employer’s plan(s) before seeking reimbursement from my HCSAccount • I will not seek reimbursement through any additional source and • I will collect and maintain sufficient documentation to validate the foregoing. WageWorks, al.

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