• Reimbursement Form (to be used for non debit card reimbursement requests only)
• Debit Card Substantiation Form (to be used for debit card substantiation only)
• Enrollment Form
• Additional Debit Card Request Form If you need a replacement for a lost, stolen or damaged card please contact member services.
• Flexible Spending Enrollment Worksheet

• Approved Merchant List for Benny Debit Card
• Benny Card Frequently Asked Questions
• Eligible/Ineligible Expenses - Over-the-Counter Medicines and Drugs
• Examples of Eligible Expenses
  

For IRS Publication 502 (Medical & Dental Expenses) and 502 (Dependent Care) please visit :
www.irs.gov