Forms

Our most frequently requested forms are made available here for download. You can print our forms on your printer and mail or fax them to Benefit Extras.

All our forms are in Adobe Acrobat format.

Flexible Benefit Plan/Spending Account Forms

Health Reimbursement Arrangement (HRA) Forms

Health Savings Account (HSA) Forms

Transportation Benefit Plan Forms

COBRA Forms

For forms specific to your COBRA administration, please email us at cobra@benefitextras.com.

Miscellaneous