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Welcome to BASIC

BASIC is pleased to announce a new process for the submission of claims and verifications.

We have created a secure claim upload portal for claim/verification submission. This new process allows you to complete a reimbursement request or verification form, attach documentation and receive confirmation that your submission was successfully uploaded. Please  submit your reimbursement/verification request here.


BASIC Flex Reimbursement Form (Non Debit Card Users)

Employees who do NOT have a BASIC FSA Debit Card use this form to request reimbursement from their BASIC Flex account.


BASIC Flex Benefits Card Reimbursement/Verification Form (Flex Debit Card Users)

Employees with a BASIC Flex Debit Card use this form to request reimbursement from their BASIC Flex account or to submit verification for card transactions.


BASIC Flex 1Direct Reimbursement Form (Flex 1Direct Users)

Employees who do NOT have a BASIC Flex Debit Card use this form to request reimbursement from their BASIC Flex account.


BASIC Flex/BASIC HRA Reimbursement Form (Flex /HRA Users)

Employees that have both a BASIC Flex and BASIC HRA plan use this form to request reimbursements.