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• Debit Card Benny Visa Application

• Direct Deposit Agreement

Eligible & Ineligible Expenses

• Employee Enrollment – Change Form

FSA Tri-fold Brochure

• FSA/HRA Reimbursement Request Form

    • Reimbursement Request - addendum

• HRA Brochure
• HRA Frequently Asked Questions

• Insurance Claim Form

• No Receipt Retailers for your Benny™ Debit Card
• Salary Redirection Agreement (SRA)
Trans/Park Reimbursement Request Form


NEW Secured website




Initialize your account today!

Get your balance

and submit claims online


Download your NEW “PIOPAC”

Mobile App below:



Mobile App
for iPhone/iPad


Mobile App
for Android



“PIOPAC” Mobile App – download today!  Submit claims and receipts by using the camera on your smart phone.  Access your available balances on your iPhone*, iPad*, and Android powered phone.  Also, receive account balances and other selected alerts via text messages on your mobile device.



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