Third Party Administrator
Payroll deductions for Flexible Reimbursement Accounts, Supplemental Insurance Policies, and Pre-Tax Annuities
(where authorized) are administered by a Third Party Administrator (TPA),
Fringe
Benefit Management Company (FBMC). The following manuals and forms are published by the TPA and contain information and
procedures necessary to set-up and maintain these deductions.
- 2012 TPA Cut-off Dates
[PDF]
- 2011 Misc Insurance and Annuities FOCUS Meeting - February 24, 2011
[PDF]
[PowerPoint]
- 2011 TPA Cut-off Dates
[PDF]
- FBMC FOCUS Meeting - February 23, 2010
[PDF]
[PowerPoint]
- FBMA Claim Form - (02/2010)[PDF]
- Cash Match Agreement Form - (5/2009)[PDF]
- Flexible Benefit Sourcebook - (02/2010)[PDF]
- Flexible Reimbursement Account Election Form - (02/2010)[PDF]
- Flexible Spending Account - Reimbursement Request Form - (12/2007)[PDF]
- Miscellaneous Insurance Information - (02/2010)[PDF]
- Post-Tax Salary Deduction Authorization - (5/2009)[PDF]
- Pre-Tax Salary Reduction Agreement Form - (06/24/2011)[PDF]
- Supplemental Insurance/Annuities Admin Manual - (5/2009)[PDF]
- Tax Sheltered Annuities - (02/2010)[PDF]
- TPA Employment Status Change Form - (5/2009)[PDF]
- TPA Exception/Discrepancy Response Form - (5/2009)[PDF]
