Flex Plan Member

Important Reimbursement Claim Information
Please read before submitting your next claim.
Summary of Material Modification to Plan - Reimbursement Claims

Effective immediately, proof of actual payment for claims is no longer required and should not be submitted. The Flex Plan is only required to verify that members have incurred covered expenses. Evidence of Expense must be submitted for all claims. For medical services an Explanation of Benefits (EOB) is the only document that should be submitted. If an EOB is not available, a written statement from the provider containing the information described on the claim form may be submitted.

All claim forms have been redesigned to include detailed instructions on how to file your claim as well as what documentation must be submitted to satisfy the Evidence of Expense requirements. If you have any claim forms with a revision date before June, 2011, please discard them.

Any prior unpaid claims which were not submitted with proof of payment that include the necessary claims substantiation may be reprocessed at the member's request.

Important Plan Changes effective 01/01/2011
We strongly encourage you to review the following items which were included in your 2010 3rd Quarter Statement:
Summary of Material Modifications to Plan

New Email Validation Procedure
The first time you log in (after 11/23/2009), you will be sent a validation email. When you receive the email, click on the link, you will prompted to enter your PIN. Once you enter your PIN you will be logged in. This process must be completed one time prior to accessing personal account information. Once you have validated your account, you may login as usual.

Verify the receipt of a fax, document or e-mail on-line
Faxes are generally recorded within 30 minutes of receipt during our business hours. You can see what documents we have received from you after logging-in by clicking on "Documents Received". Mail, depending on our volume, may take 1 to 2 days to display after receipt.