Flexible Spending Account (FSA)

FSA Plan Highlights


All full-time employees who work at least twenty (20) hours per week are eligible for coverage the first of the month following their date of hire.


Benefit Forms

FSA Login Instructions

FSA Direct Deposit Form

FSA Claims Reimbursement Request Form

FSA Quick Reference Guide

FSA – How it works – Tax Example

FSA Store Coupon Flyer

FSA Reference Brochure

FSA Eligible and Ineligible Expenses

FSA Online Store Website

MyFSA Express Mobile App Registration

Available on the App Store and Google Play

Access your account to check your balance and to view processed claims.
Remember to Fax all claims to: 1-253-793-3766


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