HRA Forms
FSA Installation
FSA Installation Form (PDF)
FSA Data Gathering Form (PDF)
Enrollment Payroll Contribution Spreadsheet (Excel)
Enrollment Summary Spreadsheet Instructions (PDF)
FSA Enrollment Form (PDF)
Health Insurance Opt Out Enrollment Form (PDF)
Premium Only Plan (POP) Installation
POP Installation Form (PDF)
POP Data Gathering Form (PDF)
POP Enrollment Form (MS Word)
POP Discrimination Testing Worksheet (PDF)
POP Q&A (MS Word)
Health Reimbursement Arrangement
(HRA) Installation
HRA Installation Form (PDF)
Debit Card Installation