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Flexible Spending Accounts

Forms to initiate pre-tax payroll deductions for unreimbursed medical and dependent care expenses are available from the third party administrator, FLEXFACTS. Deductions are authorized on a yearly basis during the open enrollment period.

 

FLEXFACTS
www.flexfacts.com

7 Grant Ave, Lakewood, NJ 08701

Phone: 877-94-FACTS (32287)

Fax: 877-747-8564

E-Mail: Claims@flexfacts.com

 

Flex Facts Claim Direct Deposit Form 

Flex Facts Claim Form 2015