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Email Us : support@r1benefitstoday.org

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Employer Resources

PDF Admin Forms and Informational Tools

Admin Forms

FSA and DCA

	Title
	Election Form (FSA)
	FMLA Form (Contact Region 1)
	Participant Termination Form (Contact Region 1)

HSA-Avidia Bank

	Title
	Contribution Correction Form
	Contribution Manager Guide
	HSA Quick Guide
	HSA Termination Form

Informational Tools

FSA and DCA

	Title
	Carryover Explained
	Dependent Care FSA Explained
	Eligible Expenses (FSA and HSA)
	FSA Enrollment Reminder
	Grace Period Explained
	Medical Expense FSA Explained
	Why Should I Flex?

HSA-Avidia Bank

	Title
	Benefits Today HSA - Avidia Trustee
	Eligible Expenses (FSA and HSA)
	HSA Explained
	HSA Overview
	Welcome Kit

For Participant forms, click here!