Flexible Benefits How-To Information

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As an employee, you may need to submit a form to authorize enrollments, to request cards or account, or to submit documentation related to the Flexible Benefits plan. This page will assist you with finding the appropriate forms to use for the Flexible Benefits plans.


HOW TO INFORMATION


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DCRA/HCRA Claim

Who: Eligible Staff or Faculty

When: Use this form to document card transactions associated with the Dependent Care / Health Care Reimbursement Account Plans (DCRA/HCRA) plans, when requested by ASIFlex. 

How: Complete the form, attach required documentation, and mail the completed form and attachments to ASI.

Form: DCRA/HCRA Claim

Related Information:


To find out more, go to: Flexible Benefits

DCRA/HCRA Enrollment

Who: Eligible Staff or Faculty

When: Use this form to enroll in the to enroll in the Dependent Care / Health Care Reimbursement Account Plans (DCRA/HCRA) plans.

How: Complete the form and return the completed form to the Benefits Coordinator.

Form: DCRA/HCRA Enrollment

Related Information:


To find out more, go to: Flexible Benefits

FlexCash Enrollment Form

Who: Eligible Staff or Faculty

When: Use this form to enroll in the FlexCash Program.

How: Complete the form and return the completed form to the Benefits Coordinator.

Form: FlexCash Enrollment Form

Related Information:


To find out more, go to: Flexible Benefits

FSA Debit Card Enrollment

Who: Eligible Staff or Faculty

When: Use this form to request a Flexible Spending Plan (FSA) debit card

How: Complete the form and either fax or mail the completed form to ASIFlex

Forms:

Related Information:


To find out more, go to: Flexible Benefits