State of Maryland

State of Maryland

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Overview & Updates

 

Health Benefits

Debit cards for your spouse or dependent over the age of 18 can be ordered directly through our secure online portal, at no additional cost. To request a card, simply log in to your account and choose Benefit Card Order Form from the Quick Links menu. For security reasons, cards cannot be requested by phone.

Enroll in a Flexible Spending Account and use tax-free money on eligible expenses! Click the “Participant Information” or “Frequently Asked Questions” tabs for more information.

Participant Information

COVID-19 FSA Updates
pdf (142.3kB)
Download
Dependent Daycare FSA Guidelines
pdf (143.4kB)
Download

Forms

FSA Claim Form
pdf (457.2kB)
Download
Letter of Medical Necessity Form
pdf (173.3kB)
Download
HIPAA Authorization Form
pdf (162.3kB)
Download
FSA Eligible Expenses
pdf (172.2kB)
Download

Frequently Asked Questions

2021 FAQs
pdf (243.9kB)
Download
2020 FAQs
pdf (224.5kB)
Download

Contact Us

Questions?

Chat with a customer service agent now.

Call Us

  • Mon-Fri 8:00am - 10:00pm EST
1-844-638-1900

Online Customer Support

Location

17 Court Street #500
Buffalo, NY 14202
View Map

Participant Information

COVID-19 FSA Updates
pdf (142.3kB)
Download
Dependent Daycare FSA Guidelines
pdf (143.4kB)
Download

Forms

FSA Claim Form
pdf (457.2kB)
Download
Letter of Medical Necessity Form
pdf (173.3kB)
Download
HIPAA Authorization Form
pdf (162.3kB)
Download
FSA Eligible Expenses
pdf (172.2kB)
Download

Frequently Asked Questions

2021 FAQs
pdf (243.9kB)
Download
2020 FAQs
pdf (224.5kB)
Download

Contact Us

Questions?

Chat with a customer service agent now.

Call Us

  • Mon-Fri 8:00am - 10:00pm EST
1-844-638-1900

Online Customer Support

Location

17 Court Street #500
Buffalo, NY 14202
View Map