Partner Resources

Need to make changes to an account or determine eligibility? Check out our list of forms and helpful information below.

Flexible Spending Accounts (FSA)

• Request a quote
• PC-EZ application
• Commuter Expense Reimbursement Request
• Dependent Care Reimbursement Request
• FSA Healthcare Claim
• Enrollment Spreadsheet

Health Reimbursement Account (HRA)

• Request a quote
• Download BHS Product Guide
• HRA Add/Change Terms Form
• HRA and CMS Medicare Secondary Payer Reporting

Commuter Expense Reimbursement Account (CERA)

• Request a quote
• Set up Direct Deposit
• Transit Benefit Enrollment/Change Form
• BenefitCard Mid-year Enrollment
• Download BHS Product Guide

COBRA

• Request a quote
• Download BHS Product Guide
• COBRA Event Notification Spreadsheet
• COBRA Event Notification Fax Form

Premium Administration

• Request a quote
• Download BHS Product Guide