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An independent licensee of the Blue Cross and Blue Shield Association. CLAIM FOR FLEX PLAN REIMBURSEMENT Social Security Number www.ezflexplan.com/bcbsla Employer Your Name Mailing Address: (Please
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Ezflexplan BCBSLA is a type of flexible spending account provided by Blue Cross Blue Shield of Louisiana.
Employees who choose to participate in the ezflexplan BCBSLA program are required to file.
To fill out ezflexplan BCBSLA, employees need to complete the enrollment forms provided by their employer and provide relevant information such as their personal details, desired contribution amount, and any eligible dependents.
The purpose of ezflexplan BCBSLA is to allow employees to set aside pre-tax dollars to pay for eligible healthcare expenses, such as medical, dental, and vision costs.
Employees need to report their personal details, including their name, Social Security number, and address. They also need to report their desired contribution amount and any eligible dependents.
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