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Quick Forms |
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Flexible Spending Account Claim Rules and Filing Instructions * Authorization for Direct Deposit Letter of Medical Necessity _ 2016
* Medical Expense Sample Worksheet
According to the IRS Website "You must keep records as long as they may be needed for the administration of any provision of the Internal Revenue Code. Generally, this means you must keep your records that support your deduction (or an item of income) for 3 years from the date you file the income tax return on which the deduction is claimed." For more information on tax filing, please check with your accounting professional. Guidelines & Information
HSA Consumer Notice Regarding Electronic Delivery of Tax Forms 2017 120915
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New Educational Tools and Resources
Quick Link: "Desktop Claim Request Receipt Upload"
Transportation Account
"Transportation Changes for 2016"
* Your Summary Plan Description (SPD) will describe your specific eligible claim types. If you have any specific questions, please contact your HR department or 125Company.
All forms are also available in your personal account login portal.
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Contact Us |
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Phone: (301) 977-8840 Toll Free number (877)-303-3539 General Fax: (301) 977-9337 Claim Fax: (877) 303-0742 |
Email Customer Support Desktop Claim Requested Receipt Upload New Employer Administrative Services Inquiry Claim and Correspondence mailing address: PO Box 2401 Germantown MD 20875-2401 |