Flexible Spending Accounts

Manley Services Resources & Forms 

Forms

• 2011-2012 FSA Reimbursement Form
• Over-the-Counter Changes Flyer
  

Note regarding 2011 FSA funds: 2011 eligible health expenses/services can be incurred through Mar. 15, 2012 and must submitted by June. 15, 2012; 2011 eligible dependent care expenses must be incurred by December . 31, 2011 and submitted by Mar. 31, 2012.

• FSA User’s Guide
• Flexible Spending Account Summary Plan Description (SPD)
  
• Examples of Eligible Expenses, updated August 2011
  
• Letter of Medical Necessity