FlexSave Forms

• Benefit Election Form (1a)
  For access to online enrollment, any changes in personal information, family status or employment
   
• Reimbursement Claim Form
  Use this form to submit reimbursement requests and receipts when you are not able to use your FlexSave Convenience Card to pay for your expenses for reimbursement.
   
• Letter of Medical Necessity
• OTC Reference Guide