Get Assureflex

Filling out the Assureflex form online can be a straightforward process when guided through each step. This guide provides a comprehensive overview to help users successfully complete the Health Spending Account Claims Authorization form.

Follow the steps to complete your Assureflex form accurately

1. Click the ‘Get Form’ button to access the Assureflex form and open it in your preferred online editor.
2. Begin by entering the name of the employer in the designated field. This is critical for identifying who the claim relates to.
3. Input the employee's last name to establish the identity of the person making the reimbursement claim.
4. For employee reimbursement, select the payment option to the employee, and fill in the claimant's last name followed by their first name and initials.
5. Use a single line to list all expense receipts related to the same claimant. Specify the claimant's first name and their relationship to the employee.
6. Document the sub-total amount for the employee reimbursement for clarity and transparency.
7. For service provider payments, indicate payment direction to the providers. Enter the claimant's last name and first name again, along with the name of the service provider.
8. Ensure you provide the necessary employee authorization by signing and dating the form where indicated.
9. Calculate and record the total amounts for claims and any applicable taxes in the 'Total Claims Calculation' section.
10. Determine whether the claim is for a single or family plan and mark it accordingly.
11. Finalize the form by ensuring that all necessary signatures are provided, including the eligible employee's signature.
12. To submit your claims: fax it to (855) 280-3295, email as a PDF attachment to mailroom@assureflex.com, or mail it to Post Office Box 81, Strathroy, Ontario N7G 3J1. Always retain copies for your records.
13. After completing the form, you may save changes, download, print, or share the document as needed.

Complete your Assureflex document online today and ensure your claims are processed efficiently.