Flex conduit? I assume you mean MC or BX metal clad cable. If this is the case it is not conduit and you will not be pulling out the old wiring through the cable as this is not possible. You are looking at a total rewire.
And yes the you have to run a ground wire UNLESS the MC has a grounding strip the length of the cable. In that case you can use the MC cable as the the ground.
-rick





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