Participant Forms & Information
While you can also find most of these items associated with relevant information elsewhere on this site or the portal, here’s a handy list of some useful forms and information for participants, all in one place.
FSA
Medical Mileage Worksheet – 2019
Medical Mileage Worksheet – 2020
Medical Mileage Worksheet – 2021
Guidance Regarding Reimbursement for Prenatal Care Expenses
Prenatal Provider Letter
HSA
Getting started with your new HSA
Transportation Plans (Parking and Transit)
Transportation Plan Summary and Change Form
Claims and Direct Deposit
Direct Deposit Authorization Form
Mobile App
Using the ProBenefits Mobile App
Account Access
Logging in to Your ProBenefits Account for the First Time
Authorization to Share Account Information
Authorization for Disclosure of Protected Health Information