Flexible Spending Accounts

Flexible Spending Accounts SPD

Flexible Spending Information

Flexible Spending Forms

  • Flexible Spending Claim Form
    This form should be completed to receive reimbursement for Flexible Spending expenses.  This form may be faxed or mailed to P&A Group at the number and address listed at the bottom of the form.
  • Direct Deposit Form (Flexible Spending)
    This form should be completed if you would like your Flexible Spending reimbursement to be directly deposited into a bank account.  This form should be submitted directly to P&A Group at the address listed on the bottom of the form.
  • Request for Additional Debit Card
    This form should be completed if you would like an additional debit card for other family members, or if you have lost your Flex debit card.  This form should be submitted directly to P&A Group at the address listed on the bottom of the form.