OutsourceOne - Contact Us

FSA Participants

Send us an e-mail about FSA at FLEX@outsourceone.com

OutsourceOne, Inc.
730 Second Ave. South
Suite 530
Minneapolis, MN 55402
(612)338-7940

Flex Help: 877-491-5979
Flex Fax: 877-491-6016

FSA (Health Care) Eligible Expenses List (.doc)

FSA (Dependent Care) Eligible Expenses List (.pdf)

FSA Estimated Expense Worksheet (.xls)

FSA Employee Tax Savings Worksheet (.xls)

FSA Claim Form (.pdf)

Transportation Claim Form (.pdf)

Direct Deposit Form (.pdf)

Orthodontia Reimbursement Rules (.pdf)

Orthodontic Schedule Form (.pdf)

IIAS Certified Merchant List (.pdf)

For participants that have an FSA debit card attached to their account, you may look up your account details, history, and balance information by logging into the www.benefitspaymentsystem.com website. Click on the link to open this website.

MBI FSA Debit Card Login Instructions (.pdf)

You will need Microsoft Excel or Adobe Reader to open the above documents. To download a free version of Adobe Reader, click... >