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| Flexible Benefits Claim Form (Revised 9/1/2005) | ATTENTION: When filling out forms, make sure you include your employee number and plan year end date. Forms without this information will be returned. | |
| Claim Form Instructions (Revised 9/1/2005) | ||
| HRA Claim Form (For Use Only By Lallman or Home Federal Bank Participants) | ||
| Revocation Change Form | ||
| Direct Deposit Authorization | ||
| Flexible Benefits Example: Effect on Spendable Income for Employees | ||
| Dependant Care Assistance Comparison | ||
| Deductible Medical Expenses | ||
| Frequently Asked Questions | ||
| Flex Contact Information | ||
E-Mail: |
flex@pinnaclepension.com | |
Direct Phone: |
(208) 433-0030 | |
Flex
Fax:
|
(208) 342-7063 | |
General Phone: |
(208) 344-2111 Ext. 29 | |