New User?
Go to Create Your Profile. Your ID number is your Social Security Number. You’ll only need to enter the last 4 digits.
Planning Tools
Use our planning tools to help you determine your contributions and potential savings with a PayFlex account.
IRS Resources
- Medical and Dental Expenses - IRS Publication 502
- Health Savings Accounts and Other Tax-Favored Health Plans - IRS Publication 969
- Dependent Care Expenses - IRS Form 2441
- Dependent Care Expenses - Instructions for IRS Form 2441
- Dependent Care Expenses - IRS Publication 503
- Dependent Care Provider's Information - IRS Certification Form W-10
Forms
Administrative Forms
- Direct Deposit Authorization Form
- Letter of Medical Necessity
- Authorization to Release Personal Information Form
Health Savings Account Forms
Health Reimbursement/Flexible Spending Account Forms
New User?
Go to Create Your Profile. Your ID number is your Social Security Number. You’ll only need to enter the last 4 digits.