MAIN PAGE FORMS AND PUBLICATIONS CONTACT INFORMATION

Forms & Publications
All documents are in Microsoft Word (.doc) format unless otherwise noted. Upon selection, files will download to your desktop for viewing and printing.

 

STANDARD FORMS

Debit Card Hints

   SMARTFLEX
Our New Debit Card for Employee Benefits 		 
  Direct Deposit
Authorization		   SamrtFlex Account
MEMBER SIGN IN 		 
  Eligible Health Care Expenses   Why SmartFlex  
      Where to use your SmartFlex  
  FLEXIBLE BENEFIT PLAN   SmartFlex Enrollment Form  
  Flex_Enroll_Form   SmartFlex Submittal Form  
  Flex_Enroll_Form-Buy Out   SmartFlex Medical Claim Form  
  Flex Medical Claim Form   SmartFlex Dependent Care Claim Form  
  Flex Dependent Care Claim Form   Online Pharmacy OTC.pdf