Flexible Spending Accounts (EBC)

Healthcare & Dependent Care FSA (.pdf forms)

• FSA Enrollment Form
  92.2 KB
• Understanding of Agreement
  22.3 KB
• EBC Summary Plan Description
  72.5 KB
• EBC FAQ 2012
  77.7 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
• 2010 Generic Mileage Claim Form
  11.5 KB
• 2011 Mileage Claim Form
  24.3 KB