Flexible Spending Accounts & Health Reimbursements

FSA/PCA Sample Healthcare Expenses (PDF - 102 KB) - Partial list of allowable and disallowed expenses.

FSA Healthcare and HRA Reimbursement Form (PDF - 124 KB)

Memo Regarding HumanaAccess Card (PDF - 77 KB)

Humana Spending Account Secondary Pharmacy Payer Network Listing (PDF - 175 KB)   - Pharmacies participating in the Humana Access Card Network.

2007 Dependent Care Summary Plan Description (PDF - 224 KB)

2007 Medical Flexible Spending Account Summary Plan Description (PDF - 256 KB)

2007 Health Reimbursement Account Summary Plan Description (PDF - 85 KB) - This SPD is for employees who waive their health insurance.