Flexible Spending Accounts (EBC)

Healthcare & Dependent Care FSA (.pdf forms)

• Flex Enrollment Form - 2013
  120.9 KB
• Understanding of Agreement
  22.3 KB
• EBC Summary Plan Description
  72.5 KB
• EBC FAQ 2013
  304.8 KB
• Online Instructions
  25.5 KB
• Qualified Medical Expenses
  31.1 KB
• Qualified Daycare Expenses
  30.8 KB
• Qualified Elder Care Expenses
  30.2 KB
• Medical Claim Form
  304.9 KB
• Dependent Care Claim Form
  309.0 KB

For more information about UDM, or to apply online, go to www.udmercy.edu/apply.