Flexible Benefits
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Use these documents and forms to learn about and participate in a Flexible Benefits program.
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interactive
FORMS
printable
(
on-line
)
Calculate Additional Life Insurance Needs
(
on-line
)
Calculate Your Flexible Benefits Savings Potential
Confidential Employee Survey
(
PDF
)
Dependent Care Assistance Program Registration Statement
(
PDF
)
Dependent Care Reimbursement Calendar -2007
(
PDF
)
Dependent Care Reimbursement Calendar -2008
(
PDF
)
Examples Of Expenses Eligible For Reimbursement
(
PDF
)
Flex Enrollment Instructions
(
PDF
)
Flex Plan Change Form
(
PDF
)
(
on-line
)
2008 Flexible Benefits Enrollment Form
(
PDF
)
(
on-line
)
Claims Reimbursement FAQ
(
PDF
)
(
on-line
)
Flexible Benefits Reimbursement Voucher
(
PDF
)
Flex Reimbursement Procedures
(
PDF
)
(
on-line
)
Direct Deposit Authorization
IMPORTANT NOTICE REGARDING CLIENT PRIVACY
(
PDF
)
HIPAA NOTICE REGARDING CLIENT PRIVACY
(
PDF
)
(
on-line
)
Questions And Answers
(
on-line
)
Request A Quote For Additional Personal Benefits
New York
90 Office Park Way
Pittsford, NY 14534
Texas
1322 Space Park, Suite C185
Houston, Texas 77058
(585) 385-6010 x3007
(800) 836-8100
Fax: (585) 248-2488
info@flexbene.com
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