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Tri-Star Systems

IMPORTANT NOTE: Most of the PDF Forms available on this web site can be pre completed before printing. Simply start by pressing your TAB Key, which will take you to the first field. Type in the answer and press the TAB Key to move to the next field. To go back press the TAB Key while holding down the SHIFT Key. If the field is a Check Box simply click the field with your mouse or press the SPACE BAR. That will either Check or Uncheck the field.
eFile is now available. Click here to log in and file your Spending / Reimbursement Account Claims On-Line. Once you are logged in just follow the directions. Fast, assures accuracy, and speeds up the reimbursement process. Give it a try.

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Forms For All Tri-Star Customer Employees
COBRA Forms
Claim Form - Health Care (HCRA) and Dependent Care (DCRA) Accounts
Claim Form - Health Reimbursement Arrangements (HRA)
Claim Form - Mass Transit (TRAN)
Debit Card Lost Card/Additional Card Order Form
Direct Deposit Request Form
Worksheet for Health Care Account (HCRA)
Worksheet for Dependent Care Account (DCRA)
Over The Counter (OTC) Drug List
FSA Qualifying Expenses
Add Employee and Change Form
VOID Check Request Form
 
Specialized Forms for Customers Listed Below
Brand Services
Hospital Sisters Health System
St. Louis Metropolitan Sewer District
Joni and Friends
 
Publications and White Papers
IRS Publication 502 (Health Care)
IRS Publication 503 (Dependent Care)
IRS Publication 969 (HSAs and Other Tax-Favored Health Plans)
IRS Publication 968 (Adoption)
Other IRS Publications
 
 

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BeneFlex® is a registered trademark of Tri-Star System