Group Insurance Plans
Self-Funded Plan Services
Consumer Driven Health Plans
Retirement Plan Services
Executive Compensation Services

Section 125 / Cafeteria Plan Administration
Debit Card Services
COBRA Administration Services

Employee Assistance Program (EAP) Services
Self-Assessment Tools
Videos

cabaconnect portal login
Secure File Upload
Information You Can Use
Archived Articles of Interest
Forms
Resources

Contact
   
   





Flex & Debit Card

Benny™ Card Receipt Submittal Form
pdf (220 k) | Info

Flexible Spending Request for Manual Reimbursement
pdf (44 k) | Info

Benny™ Card Replacement Card Request
pdf (28 k) | Info

Letter of Medical Necessity
pdf (26 k) | Info

Flex & Debit Card info

Benny™ Card Receipt Submittal Form
The Benny™ Card Receipt Submittal Form is used when submitting itemized receipts from Benny™ Card purchases. Do not use this form when submitting receipts for manual reimbursement.

Flexible Spending Request for Manual Reimbursement
The Flexible Spending Request for Manual Reimbursement is used when submitting itemized receipts for manual reimbursement.

Benny™ Card Replacement Card Request
The Benny™ Card Replacement Card Request is used to request a replacement Benny™ Card when your card has been lost or stolen. Note there is a charge for the replacement card.

Letter of Medical Necessity
The Letter of Medical Necessity is used when you need to show proof from your provider that an expense is medically necessary.