3. IM-H-470E. 102 _Acclaris Direct Deposit Form_ - Via Benefits You must sign and date this form to authorize your direct deposit request After you complete this form, please make a copy for your files and return the original together with a voided check (for checking accounts) and fax or mail to: Fax: 1-813-849-6570 Acclaris Reimbursement Center PO Box 25171 Lehigh Valley, PA 18002-5171
Via Benefits Commuter Accounts Quickstart Guide For any changes to take effect the following month, make them before the deadline date found on the Via Benefits Accounts mobile app Everything is in your hands with the Via Benefits debit card and easy-to-use mobile app
Via Benefits Access and manage your benefits account data with Via Benefits
faq_v1:Layout 1 - Via Benefits What is the Fidelity Retiree Health Reimbursement Plan? The Fidelity Retiree Health Reimbursement Plan (“the Plan”) is designed to help eligible employees pay for eligible medical expenses incurred in retirement
HEALTHCARE CLAIM FORM - Via Benefits Options: 1 Use a Smart-phone: Download the mobile App “Via Benefits Accounts” on your iOS Android Smartphone Take a picture of your receipt and enter the claim details to submit your reimbursement request
Acclaris | Contact Us - Via Benefits For assistance with your existing accounts or to open a new account, please contact the Customer Care Center at: 1 888 880 2775, TTY 1 877 314 2240 Monday through Friday 8am to 11pm Eastern Time
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