State of Connecticut Medical Flexible Spending Account

This page was last updated on: November 01, 2017

MEDFLEX Fact Sheet - rev. 2016 (PDF)

Eligible/Ineligible Expenses (PDF)

Medflex MidYear Form CO-1306a - Rev 10/2017 (PDF)

MEDFLEX Claim Reimbursement Form - CO-1307

MEDFLEX Medical Necessity Form Letter - CO-1308

MEDFLEX Capital Expense Form - CO-1309

MEDFLEX 2017 Plan Document  (PDF)
 

Progressive Benefit Solutions (PBS) - Third Party Administrator web site:
 

14 Business Park Drive, #8
Branford, CT 06405
 

Consumer Portal Quick Start Guide

http://www.irs.gov/pub/irs-pdf/p502.pdf

Back to Healthcare Policy and Benefit Services Division Index for Employees
Back to Healthcare Policy and Benefit Services Division Index for Retirees
Back to Comptroller's Home Page