Innovative Employee Benefits, Inc.
6926 Shannon Willow Road, Suite 100
Charlotte, NC 28226
PO Box 470257
Charlotte, NC 28247-0257
Phone: 704-341-5981
Email: info@better-benefits.com

Forms

Claim Forms Flex Claim Form	Enrollment Forms Flex Enrollment Form	Informational Forms Flex Enrollment Brochure	Employer Forms FLEX PARTICIPANT CHANGE FORM
HRA Claim Form	QTP Enrollment Form	OTC Effective 1/1/2011	ENROLLEE CHANGE FORM
QTP Claim Form	Flex Enrollment Form with PRM	Qualifying Medical Care Expenses	Section 125 Discrimination Test
Limited Purpose Flex Claim Form	Change of Address Form	Medical Expense Worksheet	Section 129 Discrimination Test
Flex Claim Form with PRM	HIPAA Privacy Release Authorization Form	Dependent Care FSA Worksheet
	Appeals Request for Review Form	Qualifying Dependent Care Expenses
		HIPAA Privacy Procedures

Forms must be signed in pen and faxed to: 704-341-5984.

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