flexible benefit flexible benefits flex plan
flexbenedependent care
employee benefits Flexbene.com - Your Flexible Benefits Plan Partner flexible compensation retirement plan
retirement plans flexible spending account medical benefit plan
benefits plan flexbene flexible benefits section 125 employee benefits
flex plan flexible plan retirement plan
long term care /employee benefits
Flexible Benefits
Why Flex?
How to Enroll
Additional Benefits
Forms
FAQ
Non-Traditional Benefits
Voluntary Employer Sponsored Benefits
Benefits Statements

<back
Contact Us
Home

Employer
Passcode

(You must click the ENTER button -- hitting the Enter Key will not work)
long term care
benefit benefits
section 125 flexbene retirement benefits
flexible benefit


flexbene.comFORMS-Flexible Benefits


Use these documents and forms to learn about and participate in a Flexible Benefits program.

PDF's require the Adobe Acrobat Reader Plug-In. Get Acrobat Reader
 
Forms Printable Online
FSA FORMS
• 2011 Flexible Benefits Reimbursement Voucher (PDF) (on-line)
• 2012 Flexible Benefits Reimbursement Voucher (PDF) (on-line)
• Medical Expense Reimbursement Voucher (PDF)  
• Examples Of Expenses Eligible For Reimbursement (PDF)  
• Flex Reimbursement Procedures (PDF)  
• FSA Letter of Medical Necessity (PDF)  
• Flexible Benefits Saving Calculator   (on-line)
HRA FORMS
• HRA-Medical Reimbursement Voucher (PDF)  
• HRA Reimbursement Procedures (PDF)  
Dependent Care Forms
• Dependent Care Registration Statement (PDF)  
• Dependent Care Reimbursement Calendar -2011 (PDF)  
• Dependent Care Reimbursement Calendar -2012 (PDF)  
Misc. Forms
• Flex Plan Change Form (PDF)  
• Direct Deposit Authorization (PDF)
• Lost Check and Replacement Form.pdf (PDF)  
• Confidential Employee Survey (PDF)  
Questions & Answers
• Claims Reimbursement FAQ (PDF) (on-line)
• Questions And Answers   (on-line)
• Request A Quote For Additional Personal Benefits   (on-line)
• Calculate Additional Life Insurance Needs   (on-line)
Notices
• IMPORTANT NOTICE REGARDING CLIENT PRIVACY (PDF)  
• HIPAA NOTICE REGARDING CLIENT PRIVACY (PDF)  
.
flexbene.com,benefits plan,benefits partner
New York
PO Box 587
Pittsford, NY 14534
 
(585) 385-6010
(800) 836-8100
Fax: (585) 248-2488
info@flexbene.com
home | FAQ's | flexible benefits
why participate | how to enroll | additional benefits
non-traditional benefits | benefits statements
voluntary employer sponsored benefits | forms
© M.A. Services

LMT Computer Systems
LMT Computer Systems, Inc.
<,flexible benefitsback

^ top ^
top

pullanoco.com