Forms and Handouts

Forms & Handouts

2023 Forms

For use through the 2023 plan year ending 12/31/2023. 

2023 FSA forms may be used through WEX until runout period of 3/31/2024. 2024 FSA administration will be in Benefitsolver using MyChoice Accounts.

2023 Family Status Change Form can be used until 12/31/2023. Starting 1/1/2024 submit family status changes in Benefitsolver.

2024 Forms

For use in the 2024 plan starting 1/1/2024. Many benefit form submissions now take place in Benefitsolver.