For Employee Participants: Forms and Educational Information
Below is a directory of GGA’s forms and educational resources for participants.
Enrollment Forms
- Cafeteria Plan Election Menu
- Section 125 Change Form (Terminations, Status Changes, etc.)
- Direct Deposit Authorization Agreement (If offered by your employer)
- HIPAA Privacy Policy Consent Form
Reimbursement
Forms
Instructions and Information
Debit Cards
Forms
Instructions and Information
- How to Substantiate a Debit Card Transaction
- Debit Card FAQ
- FSA Benefits Mastercard Debit Card Flyer
About Your Plan: Educational Handouts
- Flexible Spending Account Brochure
- FSA Mobile App Flyer
- Qualified Health Expenses
- Dependent Care Qualifying Expenses
- Helpful Hints
- What is a Valid Receipt?
- Cafeteria Plan Reminders
- Spending Account Worksheet
- Notice of Privacy Practices
Are you having trouble filling out any of your forms or need further instruction? Please contact our office.