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Forms and Resources

(PDF documents)

FSA Reimbursement Form

Dependent Care Reimbursement Account Brochure

Dependent Care Reimbursement Account Worksheet

Flexible Spending Account Direct Deposit Authorization Form

Healthcare FSA Brochure

Healthcare FSA List of
Eligible/Ineligible Expenses

Healthcare FSA Worksheet

 

Flexible Spending Accounts for Individuals

At the LGC, we provide Flexible Spending Account (FSA) plans that can offer valuable tax savings for you. Click on the links below to access details about our FSA offerings:

If you already have an FSA plan through your employer, click on My FSA Account for accessing your password-protected FSA information. For more details about your FSA account, please contact your employer directly. You can also call LGC at 800.527.5001 or e-mail our FSA Department.

If you are a member group benefits administrator, please visit our Flexible Spending Account Administration web section.