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FLEX/HRA DIRECT DEPOSIT AUTHORIZATION FORM Phone 866-857-8182 Fax completed form to 877-236-9868 Mail completed form to PO Box 21367 Billings, MT 59104-1367 Name (Last, First, MI) Group Name Last

How to fill out flexhra direct deposit authorization

To fill out a FlexHRA direct deposit authorization, follow these steps:

1. Obtain the form: Contact your employer or the benefits administration team to request a FlexHRA direct deposit authorization form. They should be able to provide you with the necessary document.
2. Personal Information: Fill in your personal information accurately and completely. This may include your full name, address, date of birth, and employee identification number.
3. Bank Information: Provide your bank details, including the name of your bank, routing number, and account number. Double-check these details to ensure they are correct, as any errors can delay the deposit process.
4. Allocation: Indicate the amount or percentage of your HRA funds that you would like to be directly deposited into your bank account. Some employees may choose to have the entire amount deposited, while others may opt for a specific percentage.
5. Authorization: Sign and date the form to authorize the direct deposit of your FlexHRA funds. Ensure your signature matches the one on file with your employer, as it serves as a validation of your consent.
6. Submit the Form: Once the form is completed, submit it to the relevant department or person within your organization. They may require a physical copy or provide instructions for electronic submission.

Who needs FlexHRA direct deposit authorization?

Employees who have a FlexHRA account and wish to have their funds deposited directly into their bank account will need to complete a FlexHRA direct deposit authorization. This authorization allows the employer to transfer the HRA funds directly to the employee's chosen bank account, simplifying the reimbursement process and ensuring timely access to the funds. It is important to check with your employer or benefits administrator to confirm if direct deposit is available and to obtain the necessary authorization form.

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What is flexhra direct deposit authorization?

FlexHRA direct deposit authorization is a form that allows employees to authorize the direct deposit of their Flexible Health Reimbursement Account (FlexHRA) funds into their bank account.

Who is required to file flexhra direct deposit authorization?

Employees who want to receive their FlexHRA funds via direct deposit are required to file the FlexHRA direct deposit authorization form.

How to fill out flexhra direct deposit authorization?

Employees need to provide their bank account information, such as account number and routing number, and sign the form to authorize the direct deposit of their FlexHRA funds.

What is the purpose of flexhra direct deposit authorization?

The purpose of FlexHRA direct deposit authorization is to simplify the reimbursement process for employees by directly depositing their FlexHRA funds into their bank account.

What information must be reported on flexhra direct deposit authorization?

The FlexHRA direct deposit authorization form must include the employee's bank account information and their signature to authorize the direct deposit of their FlexHRA funds.