The forms below now have the ability to be filled out online. When you complete the form you were looking for, you can save it and then email it to: laurac@custombenefit.net
PLEASE NOTE: Flex Forms may be obtained by clicking on the Services Link on the left side of your screen and scrolling down to the bottom to Section 125 Cafeteria Plans.
Change Form
COBRA Election Form
COBRA Notice Form
Disability Claim Form
Enrollment Form 1
Enrollment Form 2 - including Prescription Drug Coverage
