Additional FSA Information

• Quick Reference Expense Guide
• Flexible Benefit Plan Worksheet
• Eligible Over-the-Counter (OTC) Healthcare Products
• Using the CONEXIS Benefit (Debit) Card

• FSA Enrollment Forms
  • Healthcare and Dependent Care English 
• Flexible Benefits Change Verification Form
• Flexible Benefits Change Form, Medical Expense Account
• Flexible Benefits Change Form, Dependent Care Expense Account

* These documents are stored in PDF Format and you need Acrobat Reader, versions 5.0 or above, to view them.