Glynn Griffing & Associates allows you to download and/or complete a Reimbursement Request Form to be submitted to us for a medical or dependent care claim.  Make sure your reimbursement claim form is signed and dated and is complete with independent third party documentation to support your claim.

You can submit a claim:

Online – Follow the instructions below titled “How to Submit and Online Claim”

Fax – Fax a completed Reimbursement Request Form and appropriate documentation to (844) 859-7308.

Mail – Mail a completed Reimbursement Request Form and appropriate documentation to

Attn: GGA Claims
P.O. Box 16509
Jackson, MS 39236

Reimbursement Request Form
How to File for Reimbursement
How to Submit An Online Claim
How to Substantiate a Debit Card Transaction