Healthcare & Dependent Care FSA (.pdf forms)
EBC_FLEX_Enrollment_Form.pdfFlex Enrollment Form - 2013Flex Enrollment Form - 2013/www.udmercy.edu/hr/benefits/flex/pdf/EBC_FLEX_Enrollment_Form.pdf120871FSA_Understanding_of_Agreements.pdfUnderstanding of AgreementUnderstanding of Agreement/www.udmercy.edu/hr/benefits/flex/pdf/FSA_Understanding_of_Agreements.pdf22280EBC_Summary_Plan_Description.pdfEBC Summary Plan DescriptionEBC Summary Plan Description/www.udmercy.edu/hr/benefits/flex/pdf/EBC_Summary_Plan_Description.pdf72527UDM_FSA_Debit_Card_FAQ.pdfEBC FAQ 2013EBC FAQ 2013/www.udmercy.edu/hr/benefits/flex/pdf/UDM_FSA_Debit_Card_FAQ.pdf304844EBC_FLEX_Online_Instructions.pdfOnline InstructionsOnline Instructions/www.udmercy.edu/hr/benefits/flex/pdf/EBC_FLEX_Online_Instructions.pdf25468FSA_Qualified_Expenses.pdfQualified Medical ExpensesQualified Medical Expenses/www.udmercy.edu/hr/benefits/flex/pdf/FSA_Qualified_Expenses.pdf31128EBC_Qualified_Daycare_Expenses_2011.pdfQualified Daycare ExpensesQualified Daycare Expenses/www.udmercy.edu/hr/benefits/flex/pdf/EBC_Qualified_Daycare_Expenses_2011.pdf30804EBC_Qualified_Elder_Care_Expenses_2011.pdfQualified Elder Care ExpensesQualified Elder Care Expenses/www.udmercy.edu/hr/benefits/flex/pdf/EBC_Qualified_Elder_Care_Expenses_2011.pdf30192EBC_FLEX_Medical_Claim_Form.pdfMedical Claim FormMedical Claim Form/www.udmercy.edu/hr/benefits/flex/pdf/EBC_FLEX_Medical_Claim_Form.pdf304895EBC_Dependent_Care_Claim_Form.pdfDependent Care Claim FormDependent Care Claim Form/www.udmercy.edu/hr/benefits/flex/pdf/EBC_Dependent_Care_Claim_Form.pdf308964/www.udmercy.edu/hr/benefits/flex/pdf/formsforms