Customer Support

Forms & Information

To change your address for your medical reimbursement, log in to your account. For
your retirement account, contact the provider directy. Enter your employer name below
for your employer benefits site.

Services and Investments
Download flex reimbursement forms, investment forms, and more.

     

Insurance Benefits
Enter your employer name and you will be provided with a link to your employers benefit site:


Flex Quick Links

Flex Eligible Expenses

Gives you the fine details on flexible spending accounts


Flex Plan Packet

Everything you need to know about flexible spending accounts

Flex Benefits

All items below are downloadable in PDF and require Adobe Reader
Forms
pdf document Direct Deposit Authorization Form
Flexible Spending Account Direct Deposit Authorization Form
pdf document FFA, Inc. Benefits Card Receipt Submission Form
Flexible Spending Account Benefits Card Receipt Submission Form
pdf document Reimbursement Voucher
Flexible Spending Account Reimbursement Voucher
pdf document FFA, Inc. Benefits Card Application
Flexible Spending Account Benefits Card Application and Agreement Form
Information
pdf document Flexible Spending Plan Booklet
Participant Guidelines for Flexible Spending Accounts