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Advanced Flex Plan Administration with the Human Touch

Enrollment Resources for Flexible Spending Accounts (FSA)

This page shows enrollment resources for your FSA. If you wish to view all resources for your Plan, please click below.

Enrollment is Easy with EMPOWER's Four-step Process!

1

Send Pre-enrollment educational materials to employees

2

Use EMPOWER’s enrollment forms or use your own. 

3

Send Enrollment to EMPOWER through our enrollment spreadsheet or EMPOWERConnect.

4

Send Welcome materials to employees to help them use their new benefits.

Table of Contents

Pre-enrollment Employee Education

Use the following resources to educate Employees on FSAs before enrollment.

Flyers

English

Spanish

FSA Flyer (PDF)

PDF guide that details how an Health and Dependent Care FSAs work.

Dependent Care FSA Flyer (PDF)

PDF guide that provides information on Dependent Care FSAs.

Health FSA Flyer (PDF)

PDF guide that provides information on Health FSAs.

Limited Purpose FSA Flyer (PDF)

PDF guide that details how a Limited Purpose FSA works.
FSA, Limited Purpose FSA, and HSA Flyer (PDF)
One Page Guide that explains all three benefits to employees
FSA and HSA Flyer (PDF)
One Page Guide that explains the FSA and HSA to employees

FSA Plan Fact Sheet (PDF)

A single page handout that contains specific details about your Plan.

Your Account Manager will email this to you before open enrollment starts.

Webpages

FSA Information Page (Online)

Webpage that details how FSAs work.

Coming Soon

Videos

How an FSA Works (Video)

Video outlining how an FSA works.

How a Dependent Care FSA Works (Video)

Video outlining how a Dependent Care FSA works.

How to Pay for Braces (Video)

Video outlining how to pay for braces with an FSA.

Email Campaigns

FSA Email Campaign

Email campaign that you can send to employees for FSA education

Coming Soon

Enrollment Forms

EMPOWER accepts enrollment via our enrollment spreadsheet or EMPOWERConnect. We have provided the following enrollment forms if you would like to distribute and collect from your Employees.

English

Spanish

FSA Enrollment Form (PDF)

This is an enrollment form that you may distribute to your employees. This includes Health and Dependent Care FSAs.

FSA Enrollment Form  with Limited Purpose FSA (PDF)

This is an enrollment form that you may distribute to your employees. Use this form if you offer a Limited Purpose FSA and FSA.

Enrollment Spreadsheet

EMPOWER accepts enrollment through EMPOWERConnect or the below enrollment spreadsheet. Please click the link below for instructions on how to submit the enrollment spreadsheet. Note that this enrollment spreadsheet will work for all EMPOWER benefits.

Enrollment Spreadsheet

This link contains instructions on how to submit enrollments to EMPOWER. The instructions include a link to download the spreadsheet template.

Post-enrollment Employee Education

The following resources provide information to new participants regarding how to use their FSAs.

Flyers

Welcome Guide (PDF)

PDF guide that details the FSA Plan for new participants.

Coming Soon

Webpages

Welcome Guide (Online)

Webpage that details the FSA Plan for new participants.

Coming Soon

EMPOWER Participant
Mobile App Download

If you have an FSA, HRA, or HSA with EMPOWER, we encourage you to
download the Mobile App to manage your benefits on the go!
Apple iOS
Google Android

EMPOWER LOGIN

I am a Participant
Click the above link if you are a participant who has an FSA, HSA, or HRA with EMPOWER.
I am an Employer
Click the above link if you are an Employer or Consultant.

Download Forms

Click one of the links below to view the available forms.

I am a Participant
Click the above link if you are a participant who has an FSA, HSA, or HRA with EMPOWER.
I am an Employer
Click the above link if you are an Employer or Consultant.