File a Reimbursement Claim
FSA
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| Fill and Print FSA Claim Form | Print a Blank FSA Claim Form |
Complete the form and submit to ProBenefits along with appropriate documentation.
Learn more about filing FSA Reimbursement Claims.
HRA/MERP
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| Fill and Print HRA/MERP Claim Form | Print a Blank HRA/MERP Claim Form |
Complete the form and submit to ProBenefits along with appropriate documentation (in most cases, an insurance Explanation of Benefits, or EOB, is required).






