If you need assistance completing any forms or have any questions, please call Flexible StaffCARE customer service at 1-844-262-6027. Representatives are available Monday through Friday, 8:30 a.m. to 8:00 p.m. Eastern Time. A translation line is available for most languages.
Authorized Representative Form / Formulario de Representante Autorizado
Medical Claim Form (Indemnity Plan) / Formulario de Reclamo de Gastos Médicos (Plan de Indemnización)
Prescription Drug Claim Form / Formulario de Reclamo de Recetas Médicas
Dental Claim Form
Missed Premium Direct Payment Form / Formulario Para el Pago Directo de Primas no Cubiertas
Short-Term Disability/Proof of Loss Form
Term Life / Accidental Loss of Life Claim Form
Vision Claim Form