Flexible Spending/Cafeteria Plan (FSA)

  1. Open Enrollment Flyer (PDF)
  2. Flexible Spending Quick Glance (PDF)
  3. Flexible Spending Enrollment Form (PDF)
  4. Flexible Spending Account Direct Deposit Authorization Form (PDF)
  5. Expense Listing (PDF)
  6. New OTC Expenses Now Eligible for FSA Funds (PDF)
  7. Health Payment Card (PDF)

Dependent Care

  1. Welcome Dependent Care (PDF)
  2. Dependent Care Claim Form (PDF)

Quick Links