Flex save 2026

1. Click ‘Get Form’ to open the flex save document in the editor.
2. Begin by entering your COMPANY NAME and EMPLOYEE NAME in the designated fields. Ensure that all information is accurate for processing.
3. Sign the form in the SIGNATURE field. This step is crucial as it authorizes your claim.
4. Fill in the DATE field to indicate when you are submitting this claim.
5. In the DATE OF SERVICE section, specify when the service was provided.
6. For EMPLOYEE / DEPENDENT, indicate who incurred the expense.
7. Describe each expense in the DESCRIPTION OF EXPENSE section, selecting from Health, Dental, or Vision as applicable.
8. Enter the AMOUNT OF RECEIPT for each item claimed. Ensure that all receipts are original and meet submission criteria.
9. Review your entries for accuracy before submitting. Once completed, provide this form to your Plan Administrator for forwarding to HUB.

Start using our platform today to streamline your flex save claims process effortlessly!