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Downloadable Forms

HSA Investment Options

Last update: February 26, 2024 

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Direct Deposit Setup

Last update: June 24, 2021 

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AleraPay Website Login Instructions

Last update: January 21, 2021 

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HSA Transfer Form

Last update: November 4, 2020 

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HSA Distribution Form

Last update: October 21, 2020

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Five New Expense Categories Eligible for FSAs-2020

Last update: June 15, 2020 

View the five new expense categories now eligible for your FSA funds.

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FSA Eligible Expenses-AleraPay

Last update: April 30, 2020 

View for eligible expenses for Health Care FSA

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Mobile App-AleraPay

Last update: November 26, 2019 

Check out the features on the mobile app for your AleraPay account.

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Authorization to Release Protected Health Information-AleraPay

Last update: September 17, 2019 

If you’d like AleraPay to share information about you with another party, please complete this form.

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Reimbursement Request Form-AleraPay

Last update: September 17, 2019 

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