- Flexible Compensation Plan Employee Authorization Agreement
- Health Reimbursement Arrangement (HRA) Payment Request Form
- PharmaCare Direct Member Reimbursement Form
- Request for Reimbursement from Employee Flexible Compensation Account
- Supplemental Claim Statement
- Flex Debit Card Receipt Form
Information below on the use of FSA debit cards and a list of FSA-eligible and ineligible over-the-counter (OTC) purchases after 1-1-2011
- Benny Card FSA OTC Purchases 1-1-2011
- Benny Card Revised Handout on OTC Purchases, 1-20-2011
- FSA List of Eligible-Ineligible Items Rev. 4-2011
Durbin Amendment/PIN Availability-Effective April 1, 2013
Frequently Asked Questions About Obtaining a PIN for my Benny card