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Documents

Please select a category to view available documents for each service. Please log in to the Flores Web Portal to file a claim online or download a claim form.


General


Health Care
Flexible Spending Account
(HCFSA)

Dependent Care
Flexible Spending Accounts
(DCFSA)

Commuter Benefit
Accounts
(CBA)

Health Savings
Account
(HSA)

Documentos en Español

ARPA Expiration Premium Assistance Cancellation FSA Store Eligibility List Savings Calculator Flores Mobile IVR & SMS 247 infocenter Claim Filing Options OTC and Menstrual Care Guidance Flyer Plan Limits Table Allowable Status Changes HIPAA Privacy Standards HIPAA Authorization Form Plan Comparison Tool Employer Plan Calculator What Can I buy with My FSA
FSA Store Eligibility List FSA Store Flyer (Printable) Health Care FSA GUIDE Health Care FSA Video GUIDE TO ALLOWABLE OTC EXPENSES FSA Store CLAIM PROCESS FLOW CHART IIAS APPROVED VENDOR LIST 90% MERCHANT LIST ALLOWABLE Health Care EXPENSES (PUBLICATION 502) Health Care FSA WORKSHEET
GUIDE TO REIMBURSABLE DEPENDENT CARE EXPENSES ALLOWABLE DEPENDENT CARE EXPENSES (PUBLICATION 503) FED FORM 2441 CHILD AND DEPENDENT CARE EXPENSES DEPENDENT CARE WORKSHEET Dependent Care FSA Video Dependent Care FSA Guide
QTE GUIDE Qualified Transportation Expense Account Video ALLOWABLE TRANSPORTATION EXPENSES (PUBLICATION 15-B) What is a Commuter Benefit Account Video
Frequently Asked Questions WealthCare Saver User Guide WealthCare Saver User Guide - Quick Start WealthCare Saver Investment Options WealthCare Saver Investment Fees Transfer Form Fact Sheet Single Source Determining My HSA Election Amount Health Saving Account vs. 401k Am I a Saver or a Spender Determining Future Value for Savers Plan Comparison Tool Introduction to HSA Video Using the HSA to Save for Retirement Health Care Expenses HSA Tax Savings Calculator HSA Contribution Limits Calculator Accessing Your HSA Funds Customer Identification Process Guide HSA Store Flyer (Printable) What is an HSA Video
CUENTA DE GASTOS FLEXIBLES PARA EL CUIDADO DE DEPENDIENTES (FSA/DCRA) LA TARJETA DE DÉBITO CUANDO SEA...DONDE SEA...CON E-RECIBO (Flores Mobile) EL NUEVO PLAN "ROLLOVER" FSA HRA guía CUENTA DE GASTOS MÉDICOS FLEXIBLE (MRA/FSA) ¿Qué es una Cuenta de Gastos Flexible (FSA)? ¿QUÉ ES EL "ROLLOVER" MÉDICO FSA? Gastos MÉdicos Admisibles o Con Cobertura Paquete de ahorro para cuenta de salud BENEFICIO DE TRANSPORTE CUENTA DE GASTOS FLEXIBLE

Resource Center

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Resource Library
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Flores247 Web Portal

Need assistance?

Contact an account manager at 800.532.3327

Monday – Friday from 8:30 a.m. to 5:00 p.m. EST.
Flores
Better Benefits Start Here
Local: 704.335.8211
Toll Free: 800.532.3327
2013 W Morehead St. Suite B.
Charlotte, NC 28208
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