FORMS

 

Employers

COBRA - COBRA Notification of Qualifying Event Form

COBRA - New Hire DOL Letter Request

 

Employees

FSA -   Online Account Login Instructions

FSA - Flexible Spending Account (FSA)  or Dependent Care Account (DCA) Claim Form (PDF format)

FSA - Flex Card Claim Form (PDF)

HRA - Health Reimbursement Arrangement (HRA) Claim Form (PDF)

 

 

 



Phone 248/543-2644
Toll Free 1-800-9898-PRO

Fax: 248/543-2296
Email:  info@adminpro-inc.com

1423 East 11 Mile Road
Royal Oak, MI 48067