FORMS

COBRA ADMINISTRATION

• Employer Change Form

FLEXIBLE BENEFITS ADMINISTRATION

All Accounts

• WealthCare Portal and Mobile App Overview

• How to Create and Use Your Online Account

• Direct Deposit Agreement

• Annual IRS limits for accounts

FSA

• Health FSA Flyer

• Dependent Care FSA Flyer

• Election Savings Calculator

• Eligible FSA Expenses

• FSA Claim

HRA

• HRA Flyer

• HRA Claim

HSA

• WealthCare Saver HSA Flyer

• WealthCare Saver HSA Welcome Guide

• WealthCare Saver HSA Investments Options and Performance

• WealthCare Saver HSA Investments User Guide

• WealthCareSaver HSA disclosures

• Eligible HSA Expenses

View Employee video about the BenefitsAssist Mobile app: 

View Employee video about Filing a Claim via the online portal or the BenefitsAssist Mobile app:

View Employer video about Navigating the Employer Portal:

View Employer video about Accessing Reports: