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Flexible Benefits
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flexbene.comFORMS-Flexible Benefits


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  
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flexbene.com,benefits plan,benefits partner
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
home | FAQ's | flexible benefits
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LMT Computer Systems, Inc.
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