Medical Reimbursement Claim Form
FSA Debit Card-Medical Reimbursement Claim Form
Dependent Care Reimbursement Claim Form
Dependent Care Provider Receipt
Parking Reimbursement Claim Form
Employer Portal Demo:
Consumer Portal Demo:
FSA Eligible and Ineligible Medical Expenses
IIAS Merchant List for FSA Debit Card Participants
Using a PIN with your BASIC Benefits Debit Card
FSA Debit Card Brochure (Spanish)
What is Consumer Driven Healthcare (CDH)?
To access your employer’s customized HRA Reimbursement Claim Form log in to your online consumer portal.
Health Reimbursement Account (HRA) Brochure
Important Note: Reimbursements for the BASIC NEO location are issued weekly each Wednesday.
Health Reimbursement Account (HRA) Information from Pub 969
Guidelines for Parking and Transit
HSA Eligible and Ineligible Medical Expenses
Healthcare Bank Terms and Conditions Agreement
HSA User Guide and Welcome Kit
HSA Transfer Form for Individuals
COBRA Employer Portal Demo: