FEATURES AND
OPTIONS FORM
-- Sign up for Direct Deposit, Send Dependent Information, and
Submit Authorization to Release Private Health Information; PDF
(42 KB)
FLEX CARD FORM
-- Required for enrolling to receive a Flexible Convenience Card; PDF
(214 KB)
REMEMBER: You can submit your forms and documentation by either
fax or mail.
If you have any questions regarding forms or your pre-tax plan, please
call 1-800-434-8026.
Address:
P O Box 2076, Batesville, Arkansas 72503 Phone: Toll Free: 888-698-1429 Local: 870-698-1429 Fax: Toll Free: 888-877-4747 Local: 870-698-1117 Customer Service Hours: 8:00 a.m. to 5:00 p.m. Central - Monday - Friday full info
