FSA

Access Your Account
Client here to access your FSA account.  The page will open in a new window.  If this is your first time accessing the system, use the instructions below.  Web Access Instructions


                                        

Resources
 

HealthCare Reform Update   (12/29/2010)
This document further clarifies the use of the debit card for over-the-counter (OTC) medications after January 1, 2011.  If you would like to read the full guidance from the Internal Revenue Service (IRS), please see
Notice 2011-5.

HealthCare Reform Update   (12/01/2010)
This document explains some of the immediate effects of HealthCare Reform on your Flexible Spending Account, in particular the eligibility of over-the-counter (OTC) medications after January 1, 2011.

FSA Enrollment Worksheet
Use this worksheet to estimate your tax savings by participating in a Flexible Spending Account or use this calculator.

Eligible Expense List
Use this list to familiarize yourself with eligible expenses.  The list is intended to be comprehensive, but it may change from time-to-time.  This list is not a guarantee of benefits. 

Ineligible Expense List
Use this list to familiarize yourself with ineligible expenses.  The list is intended to be comprehensive, but it may change from time-to-time.  This list is not a guarantee of benefits. 

Debit Card FAQ

Debit Card Terms & Conditions

Debit Card Generic Artwork


Forms 

Medical & Dependent Care Universal Claim Form

Recurring Dependent Care Contract & Claim Form

Parking & Transit Claim Form

Debit Card Purchase Substantiation Form
                    
Additional Debit Card Request Form

Direct Deposit Form




P. O. Box 1379  I  Roswell, GA  30077-1379  I  877-747-4141