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Enrollment, claims and account updates. Find the documents you need to take the next step.

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Benefit or topic

Flexible spending accounts

Health reimbursement arrangements

Looking for an HRA form?

Your HRA forms depend on your plan. Find them in your secure account or ask our team.

Go to your account →Email flex@benefitextras.com ↗

COBRA

Need a COBRA form?

For forms specific to your COBRA administration, contact our COBRA team.

Email the COBRA team →

Documents open in a new tab. Use your secure account portal for claims and account information.

The right form.Right at your fingertips.

What can we help you find?

Flexible Benefit Enrollment/Change Form

Flexible Benefit Enrollment/Change Form w/Limited FSA

Flexible Benefit Employee Guide

FSA Claim Form

Orthodontic Services Claim Form

Qualified Reservist Distribution Form

HSA Limited FSA Fact Sheet

2026 Post Deductible Certification

Debit Card Substantiation

Employee Portal Guide

HSA Enrollment Form

HSA Brochure

HSA Contribution Form

HSA Name Change Form

HSA Information Change Notification Form

HSA Beneficiary Form

HSA Additional Debit Card Request

HSA Direct Deposit Form

HSA Transfer Form

HSA Information Authorization Form

HSA Power of Attorney

HSA Power of Attorney Disability/Incapacity Form

HSA Death Distribution Form

HSA Distribution Request/Account Closure

HSA Commonly Asked Questions & Answers

HSA Portal Guide

Transportation Plan Enrollment/Change Form

Transportation Plan Claim Form

Transportation Plan Q&A

EFT- Employee Credit Agreement

Debit Card Substantiation

Employee Portal Guide

Looking for an HRA form?

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Benefits can be complicated.Getting help shouldn’t be.

The right form.
Right at your fingertips.

Benefits can be complicated.
Getting help shouldn’t be.