Online Forms

Flexible Spending Accounts (FSA)

• Customer Service Information
• FSA Claim Form
• FSA Standard Enrollment Form
• How FSAs Work
• ProFlex Frequently Asked Questions (FAQ)
• Benny Card Frequently Asked Questions (FAQ)
• Over the Counter Medication/Items (partial list)
• Qualified Healthcare Expenses
• FSA Tax Benefits for Employer
• Tax Benefits of FSA for Employees
• Dependent Care Spending Account Worksheet
• Parking and Transit Benefits
• IRS Code: Section 213
• Flex Spending Implementation Guide
• Direct Deposit Authorization

Eligibility and Claims

• Possible Injury
• Dependent Eligibility
• Coordination of Benefits Questionnaire
• Disabled Dependent Certification

Health Reimbursement Account - HRA

• HRA Implementation Guide
• 105 HRA Claim Form

User Guides

• Consociate Dansig Insured Online Claims Access User Guides
• Consociate Dansig Provider Online Claims Access User Guides
• AGC Online Claims Access User Guide

Other

• Payroll Deduction Payment Plan
• Good Student Discount
• Privacy Policy
• SmartPremium Insurance Application
• Sun Life Claim Packet
• Sun Life Waiver of Premium
• Sun Life Instructions for Conversion of Group Life Policy to Individual Policy
• Sun Life Group Life Conversion Form