Welcome to PIOPAC Fidelity Administrative Services!
Welcome Flexible Spending Account Participant,
Check your balance, file or substantiate a claim online.
(AFTER 5/1/2014 - https://piopacee.lh1ondemand.com).
Download your complete welcome packet (non-debit card or debit card) or access individual forms below:
• Instructions to initialize your web account – non-debit card
• Instructions to initialize your web account – debit card
• FSA/HRA Reimbursement Request Form
• Trans/Park Reimbursement Request Form
• Direct Deposit Agreement
• FSA Handbook
• Eligible & Ineligible Expenses
• No Receipt Retailers for your BENNY™ Debit Card
• Salary Redirection Agreement (SRA)
Submit claims using MOBILE App, or login into secured website and remit claims directly online and upload receipts.
Requests for reimbursement may be scanned and emailed to firstname.lastname@example.org,
faxed to (808) 536-0430, or mailed to 1132 Bishop Street, #2101, Hon., HI 96813.
We highly encourage Direct Deposit into your bank account as the most efficient method for you to receive your reimbursement. If you elect to receive a check and it is lost or not cashed within 60 days, there will be a $28.00 service fee to replace it.
A few reminders when filing your reimbursements:
To expedite the processing of your claim, please tape all receipts to a letter size sheet of paper - do not use staples. Please complete the claim form in its entirety, including your signature and date. Incomplete claims may delay processing of your reimbursement. Do not indicate "See Attached" in any field.
Reimbursement requests for less than $15.00 will be held until subsequent requests exceed the minimum check issue amount.
If you have any questions regarding your FSA claims processing, please email us at FSAclaims@piopac.com or call us at (808) 526-0097 ext. 226.