Printable Forms, Guides & Brochures

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INSURANCE AWB MASTER APPLICATION INSUR View/Download/Print AWB HealthChoice 2500 HSA BENEFITS HSA, INSUR View/Download/Print AWB HealthChoice Employee Ins Enrollment/Change Form INSUR View/Download/Print AWB HealthChoice Employee Health Statement Form INSUR View/Download/Print AWB HealthChoice Employee Waiver of Coverage Form INSUR View/Download/Print Multi Termination Form HSA,HRA,FSA,COBRA,INSUR View/Download/Print Insurance Group Quote Request and Application HSA, INSUR View/Download/Print Individual/Family Temp Insurance Quote and Application HSA, INSUR Get Quote and Application Individual/Family Health Insurance Quote Request and Application HSA, INSUR Get Quote and Application
Frequently Used Forms
HRA Reimbursement Request (CLAIM) Form HRA, COBRA  View/Download/Print
Quote Request HSA, HRA, FSA, INSUR  View/Download/Print
HRA Application HRA  View/Download/Print
HRA Employer Guide HRA  View/Download/Print
HRA Employee Guide HRA  View/Download/Print
Authorized Representative(HIPAA) Form HRA, FSA, COBRA  View/Download/Print
myRSC First Time Login Guide HRA, FSA, HSA, COBRA  View/Download/Print
myRSC Employer Portal Guide HRA, FSA, HSA, COBRA  View/Download/Print
myRSC Employee Portal Guide HRA, FSA, HSA, COBRA  View/Download/Print
IRS Publication 502 - Medical Expenses HRA, FSA, HSA  View/Download/Print
IRS Publication 969 - Reimbursement Accounts HRA, FSA, HSA  View/Download/Print
Direct Deposit Enrollment/Change Form HRA, FSA, COBRA  View/Download/Print
Receipt and Substantiation Form - Debit/Credit Card Transactions HRA, FSA, COBRA  View/Download/Print
HRA Reimbursement Request (CLAIM) Form HRA, COBRA  View/Download/Print
Eligible Dependent Care Expenses FSA  View/Download/Print
Dependent Care Reimbursement Request Form FSA  View/Download/Print
Substantiation Requirements HRA, FSA, COBRA  View/Download/Print
Employee mySource card Agreement Application HRA, FSA, HSA,COBRA  View/Download/Print
Additional Card Request Form HRA, FSA, HSA,COBRA  View/Download/Print
HRA Enrollment
HRA Employer Guide HRA  View/Download/Print
HRA Quote Request HRA,  View/Download/Print
HRA Application HRA  View/Download/Print
HRA Employee Guide HRA  View/Download/Print
Employee mySourceCard Enrollment HRA  View/Download/Print
Authorized Representative Form HRA, COBRA  View/Download/Print
Reimbursement and Substantiation
Qualifying Child and Relative Questionnaire FSA,  View/Download/Print
Eligible Dependent Care Expenses FSA  View/Download/Print
FSA Deductible Verification Form FSA  View/Download/Print
IIAS Merchant List HRA, FSA, HSA, COBRA  View/Download/Print
90% Rule Merchant List HRA, FSA, HSA, COBRA  View/Download/Print
Medically Necessary Form HRA, FSA, HSA, COBRA  View/Download/Print
Receipt and Substantiation Form - Debit/Credit Card Transactions HRA, FSA, COBRA  View/Download/Print
HRA Reimbursement Request (CLAIM) Form HRA, COBRA  View/Download/Print
Substantiation Requirements Refresher HRA, FSA, HSA, COBRA  View/Download/Print
Administrative
myRSC Employer Portal Guide HRA, FSA, HSA  View/Download/Print
Authorized Representative Request Form (HIPAA) HRA, FSA  View/Download/Print
Benefits Termination Form HRA, FSA, COBRA  View/Download/Print
Plan Implementation
HRA Employer Guide HRA  View/Download/Print
HRA Employee Guide HRA  View/Download/Print
myReourceCard┬« Credit card Information for Employees HRA, FSA, HSA  View/Download/Print
myResourceCard┬« credit card Setup for Employer HRA, FSA, HSA  View/Download/Print
mySourceCard┬« debit card Information for Employees HRA, FSA, HSA  View/Download/Print
mySourceCard┬« debit card Setup for Employer HRA, FSA, HSA  View/Download/Print
Direct Deposit Enrollment Change Form HRA, FSA  View/Download/Print
myRSC Employer Portal Guide HRA, FSA, HSA  View/Download/Print
myRSC Employee Portal Guide HRA, FSA, HSA  View/Download/Print
IRS Publication 502 - Medical Expenses HRA, FSA, HSA  View/Download/Print
IRS Publication 969 - Reimbursement Accounts HRA, FSA, HSA  View/Download/Print
Receipt and Substantiation Form - Debit/Credit Card Transactions HRA, FSA  View/Download/Print
Dependent Care Reimbursement Request Form HRA, FSA  View/Download/Print
Substantiation Requirements HRA, FSA  View/Download/Print
Additional Card Request Form HRA, FSA, HSA  View/Download/Print
HSA Forms and Information
HSA Qualified Insurance INDIVIDUAL/FAMILY Quote Request HSA Request Quote
HSA Qualified Insurance Group Quote Request HSA, INSUR  View/Download/Print
HSAtoday Fee Schedule HSA  View/Download/Print
HSAtoday Enrollment Form HSA  View/Download/Print
HSAtoday mySourcecard Debit Enrollment Form HSA  View/Download/Print
HSAtoday Deposit Slip HSA  View/Download/Print
HSAtoday Investment Guide HSA  View/Download/Print
HSAtoday PHI Release Form HSA  View/Download/Print
HSAtoday Rollover Form HSA  View/Download/Print
HSAtoday Distribution Request Form HSA  View/Download/Print
HSAtoday Expense Form HSA  View/Download/Print
IRS Form 8889 Health Savings Accounts HSA  View/Download/Print
INSURANCE
AWB MASTER APPLICATION INSUR  View/Download/Print
AWB HealthChoice 2500 HSA BENEFITS HSA, INSUR  View/Download/Print
AWB HealthChoice Employee Ins Enrollment/Change Form INSUR  View/Download/Print
AWB HealthChoice Employee Health Statement Form INSUR  View/Download/Print
AWB HealthChoice Employee Waiver of Coverage Form INSUR  View/Download/Print
Multi Termination Form HSA,HRA,FSA,COBRA,INSUR  View/Download/Print
Insurance Group Quote Request and Application HSA, INSUR  View/Download/Print
Individual/Family Temp Insurance Quote and Application HSA, INSUR Get Quote and Application
Individual/Family Health Insurance Quote Request and Application HSA, INSUR Get Quote and Application
IRS Forms and Publications
IRS Form W-9 HSA, HRA, FSA, INSUR  View/Download/Print
IRS Publication 502 - Medical Expenses HSA, HRA, FSA, COBRA  View/Download/Print
IRS Publication 503 - Child and Dependent Care Expenses HSA, HRA, FSA  View/Download/Print
IRS Publication 969 - Reimbursement Accounts HRA, FSA, HSA, COBRA  View/Download/Print
IRS Form f8853 Archer MSAs and LTC MSA, LTC  View/Download/Print
IRS Form f8889 Health Savings Accounts HSA  View/Download/Print