This is the checklist of items we need to install any of the plans.
This form should be used for employees to make Elections and Election changes to their HRA and/or FSA plan.
This form shows IRS Eligible Section 213(d) Expense descriptions and documentation required for Standard FSA Plans, Limited Purpose FSA Plans, and HRA Plans. NOTE: not all expenses may be eligible for your plan; please refer to your Employers Summary Plan Description for a list of eligible benefits your plan covers.
This is a news release regarding Over The Counter Drugs. Also check out www.FSAstore.com of which we have a link on this site.
This form is used to submit a Request for Reimbursement from your Dependent Care Account.
Dependent Care Receipt
This form is used by an employee to show they incurred an eligible expense for Dependent Care.
This form is used by the employees prior to the begining of each new plan year to elect the benefits the are participating in.
This form will allow an employee to make a change to their election if they have a qualifying event.