Sunday, November 9, 2025

Flex Benefit Plan Documents

Flex Benefit Recent Mailings
Flex Benefit Recent Mailings
2025 Summer Flex Election Notice
Flex Benefit Forms
Flex Benefit Forms
Semi-Annual Election Form Summer 2025
Flexible Benefit Claim Form
Supplemental Unemployment Affidavit
Medical Reimbursement for Personal Care Items
Group Term Life Insurance Enrollment Form
Future Contribution Election Form
Flex Direct Deposit Form
Automatic Medical Flex Reimbursement Form (Harrison Self-Funded only)
Flex Benefit Amendments and Changes
Flex Benefit Amendments and Changes
Summary of Material Modification- End of COVID-19 Benefits
Summary of Material Modification_9.12.17
Summary of Material Modification COVID-19 Benefit Updates on the Harrison Flex Plan
Summary Material Modification_7.1.2022
Flex Benefit Documents / Summary Plan Description
Flex Benefit Documents / Summary Plan Description
Harrison Flex Booklet
IRS Publications 502_2017
IRS Publications 503_2017
Notice of Availability of Language Assistance Services
Flex Benefit References
Flex Benefit References
Election Flow Chart
Flex Plan Account Illustration