IMPORTANT ! Info on this webpage pertains ONLY to Benefits for Calendar Year 2023


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2023 Benefit INF
  • ALL FORMS
  • Medical Plan - EBD/ARbene
  • EBD/Colonial Group Life
  • Dental
  • Vision
  • AFLAC Supplementals
  • Short Term Disability
  • Long Term Disability
  • Voluntary Life EE/Spse/Ch
  • Voluntary Accidental Life
  • HSA (Health Savings Acct)
  • FSA (Flexible Spend Acct)
  • 403b TSA Plan Info
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ABOUT


Home
2023 Benefit INF
  • ALL FORMS
  • Medical Plan - EBD/ARbene
  • EBD/Colonial Group Life
  • Dental
  • Vision
  • AFLAC Supplementals
  • Short Term Disability
  • Long Term Disability
  • Voluntary Life EE/Spse/Ch
  • Voluntary Accidental Life
  • HSA (Health Savings Acct)
  • FSA (Flexible Spend Acct)
  • 403b TSA Plan Info
MAKE APPT
VIDEO
ABOUT
More
  • Home
  • 2023 Benefit INF
    • ALL FORMS
    • Medical Plan - EBD/ARbene
    • EBD/Colonial Group Life
    • Dental
    • Vision
    • AFLAC Supplementals
    • Short Term Disability
    • Long Term Disability
    • Voluntary Life EE/Spse/Ch
    • Voluntary Accidental Life
    • HSA (Health Savings Acct)
    • FSA (Flexible Spend Acct)
    • 403b TSA Plan Info
  • MAKE APPT
  • VIDEO
  • ABOUT
  • Home
  • 2023 Benefit INF
    • ALL FORMS
    • Medical Plan - EBD/ARbene
    • EBD/Colonial Group Life
    • Dental
    • Vision
    • AFLAC Supplementals
    • Short Term Disability
    • Long Term Disability
    • Voluntary Life EE/Spse/Ch
    • Voluntary Accidental Life
    • HSA (Health Savings Acct)
    • FSA (Flexible Spend Acct)
    • 403b TSA Plan Info
  • MAKE APPT
  • VIDEO
  • ABOUT

FSA pdf forms

FSA Overview (pdf)Download
2023 Cafeteria Plan claim form (pdf)Download
2021 Cafeteria Plan claim form (pdf)Download
Contributions to SSSD FSA (pdf)Download
Distributions From an FSA (pdf)Download
IRS publ 502 - Medical Deductions (pdf)Download
IRS publ 969 HSA FSA etc (pdf)Download
FSA Enrollment Form edited (pdf)Download

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IMPORTANT!

This webpage contains information ONLY FOR THE CALENDAR YEAR 2023.  All information for the October 2023 ENROLLMENT for January 2024 will be provided by your new broker for 2024 , Educational Benefits, Inc.  (EBi)   


FOR NEW HIRES IN THE MONTH OF September, October or November 2023, this information is still valid for your benefits through the end of 2023.


QUESTIONS regarding keeping your AFLAC or GUARDIAN coverages individually, please contact Mike Standrod at Corporate Benefit Planners  mike@cbadmin.com 

479.444.3399 

Learn more