Claim Forms
Health Care 'Fill-In' Claim Form Health Care Claim Form Dependent Care 'Fill-In' Claim Form Dependent Care Claim Form Qualified Transportation Claim Form Health Premiums Claim Form-This is for Individual policies only. Not employer provided coverage. Adoption Assistance Claim Form
Secure Claims Submission Option
Secure Claim Submission Instructions
IRS News Release
2012 Medical Mileage Reimbursement
Announcement 2011-14 Lactation Expenses as Medical Expenses IRS Issues Guidance Explaining 2011 FSA Change IRS Issues More Information for Employers on OTC Drugs Affordable Care Act: Questions & Answers on Over-the-Counter Medicines & Drugs
HSA Information
HSA website portal The Bancorp Bank
If you still have questions please contact the Flex Customer Service Department at
General Forms
Direct Deposit Authorization Change In Status Form Release of Information Authorization. Termination Notification Form
Debit Card Information
How to use your Benefits Card IIAS - Inventory Information System Participating Merchants 90% Rule Merchants List
Debit Card Receipt Substantiation Notice 2006-69
General Information
Examples of Qualified Over-the-Counter Expenses available with a prescription Examples of Qualified Health Care Expenses Planning Worksheet Over-the-Counter Change 2011 About Change In Election May You Change Your Elections Dependent Care Expenses Adoption Assistance Info Sheet
