FSA Documentation

Cafeteria Plans (Section 125 Plan)

FSA - Medical Expense Reimbursement

Use this form for your Medical Expenses, prescription Drugs, Dental and Vision Claims.

Know Your FSA/HRA Eligible & Ineligible Expenses!

Easily find what is and what is not an eligible expense under your plan.

DCA - Dependent Care

Use this form for your Dependent Care Expenses

ACH - Direct Deposit

Have your claims directly deposited into your savings or checking account.

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