Creating Healthier Benefits
SM
Standard Forms
Uniform Glossary of Health Coverage and Medical Terms
Medical Claim Form - HCFA 1500
Dental Claim Form
Vision Claim Form
Disability Claim Form
Section 125 Cafeteria Plans / Flexible Spending Accounts / Health Reimbursement Arrangement
Flexible Spending Account Claim Form
Flex Enrollment Form
Request Form for Issuance of Additional Flex Debit Cards
Health Reimbursement Arrangement (HRA) Claim Form
Over-the-Counter Medicines - Quick Reference Guide
General Information
Services Provided by Interactive Medical Systems