| Claim filing:
How to file a claim 
When filing your claim, you must attach
copies of the receipts. The receipt must show the date
and type of service for the expense. Canceled checks,
credit card slips, or statements showing only a balance
due on your account are not allowable. Claim Forms Click
here for a Medical FSA Claim Form. [ pdf ]
Click here for
a Dependent Care FSA Claim Form. [ pdf ]
When you send your claim and receipts, remember
to keep a copy of the claim form and supporting documents
for your records. Mail claims to:
Alliance Benefit Group-MidAtlantic, LLC
Attn: FSA Dept.
575 S. Charles Street, Suite 202
Baltimore, MD 21201
Fax claims to:
(410) 895-0951
INFO@ABG-MA.COM
| 575 SOUTH CHARLES ST. BALTIMORE, MD 21201
|
