MEDCOM FORMS

Learn more about Medcom.

• Flexible Spending Account Expenses - FSA
• Dependent Care Eligible Expenses - DCAP
• Plan Reimbursement Form - FSA, HRA, DCAP
• Dependent Card Request Form - FSA, HRA, DCAP
• Flex Recurring Expense Claim Form - FSA
• Daycare Provider Receipt Form - DCAP

Government/IRS Related Documents

Medcom partners with world class providers of technological and financial services to create a team unsurpassed in the industry.

• DOL Homepage
• HHS Homepage
• About the Employee Benefit Security Administration (EBSA)
• Analyzing the Grandfather Rules Under PPACA
• COBRA Continuation Benefits
• Consumer Information on Health Plans
• Delinquent Filer Voluntary Compliance Program (DFVCP)
• Delinquent Filer Voluntary Compliance Program (DFVCP) Penalty Calculator/Online Payment
• EFAST2 Electronic Filing System
• Electronic Code of Federal Regulations
• Employee Benefit Security Administration (EBSA)
• Group Term Life
• IRS Frequently Asked Questions
• Reporting and Disclosure Guide for Employee Benefit Plans