Medical & Dental
Application for up to $150 annual reimbursement for health club/gym membership.
Healthcare Flexible Spending Account (HCFSA) and Health Reimbursement Account (HRA) Reimbursement Form
Health Equity reimbursement of qualified expenses from Healthcare Flexible Spending Account (HCFSA) or Health Reimbursement Account (HRA) form.
Health Equity form for reimbursement from Health Savings Account (HSA).
Use this form to be reimbursed for Dependent Care Subsidy expenses.
Use this form to be reimbursed by Health Equity for your Dependent Care Flexible Spending Account (DCFSA) expenses.
Application for employee education tuition reimbursement.
If you are a regular full-time employee at the Institution, you are eligible for an interest-free loan for the higher education of your children or legal dependents.