Open Enrollment
Optima Enrollment Packet
- Optima Health Website Flyer
- 18 MDLIVE-Optima_BIGs_72018
- HSA Contribution Election Form 2022-2023
- HSA Transfer
- HEQ Transfer Request Form
- Transition of Care Assessment
- Out of Area Dependent form – enrolled-members
- Preventive Drug List
- form-doc-equity-preventive-drug-list-alpha
- Optima Standard Formulary
- Optima_Options for Care_72318
- GymNetwork360
- Health Coverage Waiver
- 403B List of Companies
- 403b Agreement
- Legal Resources Brochure
- Legal Resources Enrollment Form
- Health Insurance Waiver Form
Flex Spending Forms
- Flex Spending Guide 2023
- How Flex Benefits Works
- FSA Enrollment Form
- Benefit Card Election Form
- Using Your Benefit Card
- Dependent Care Reimbursement Claim Form
- Direct Deposit Form
- Limited FSA Medical Reimbursement Claim Form
- Medical Reimbursement Claim Form
- Online Claims Submission
- Spending Enrollment Form
- Transaction Substantiation Form
- FSA/HSA/HRA Notification of Termination Form
- Eligible Expense Listing
- Flex Rollover Letter
- Flex Rollover Frequently Asked Questions
- Flex Change of Address Form
- Flex Change of Status Form
- Flex E-Coupon
- Flex Mobile App
- Flex Web Access Flyer
- Flex Mobile Portal Flyer
- Limited FSA Flyer