Section 125 Flexible Spending Account & Health Reimbursement Arrangement Employee Online Access

Contact our office if you need assistance obtaining your login information

You may fax, mail or email your claim form to the contact information indicated at the bottom of the form.
If you should have any questions or need assistance with your account, please do not hesitate to contact our office at your convenience at (228) 762-2500.  
We are opened Monday - Friday, 8 am to 5 pm CST.

You may also email us if you are not available during business hours, and we will gladly respond to you by the next business day.All claim forms must have the following information indicated:
-    Employer
-    Full Name
-    Current mailing address
-    Current phone number
-    Date of Service(s) to be claimed
-    Amount of patient responsibility to be claimed (Does not include insurance reimbursement)
-    Signature & Date

Below is a step by step process on how to obtain a claim form through your online access.
www.myflexonline.com
User Name & Password Required

Step 1: Go to www.myflexonline.com

If you have not previously registered, click on “NEW USER” and register

Step Two:  On your Welcome Screen, in the top left corner, click on “REQUEST PAYMENT”.

Step Three:  Follow the 4 steps to type and print your form.  Remember, our office will be more than happy to provide you with a form if you do not have access to a printer.  Please contact us by email or by phone at (228) 762-2500.