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Advanced Flex Plan Administration with the Human Touch
Participant Resources for FSA
Table of Contents
EMPOWER encourages you to use the Online Portal to ensure the fastest service (see the Instructional Guides and Tutorials section below for more information). However, forms are provided below for you to fill out and return to EMPOWER as an alternate way to use your benefits.
Change in Status/Qualifying Event Form
Required for mid-year changes to your FSA
Direct Deposit Authorization Form
Add or change an existing bank account to receive reimbursements right to your bank account
FSA Claim Form
Use this form to submit an FSA claim.
List of eligible items for all plans.
Instructional Guides and Tutorials
FSA Welcome Guide
Comprehensive guide to using your EMPOWER FSA.
FSA Welcome Page (Online)
Comprehensive online guide to using your EMPOWER FSA.
Online Portal Quick Start Guide
Learn how to use the Online Portal.