Worksite Benefit Plans, Inc.

One Administrator for all your benefit needs.

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Cafeteria Plan (125) Administration

(HRA) 105 Administration

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To file a claim simply download the necessary claim form then fax or mail with your receipts.

Fax: (405) 616.0121
FSA (125) Claim Forms

HRA (105) Claim Forms

Document
Flexible Spending Account Claim Form
Document
Health Reimbursment Arrangement Claim Form
Document
Flexible Spending Account Claim Form
Document
Health Reimbursement Arrangements Claim Form
NEW Online Claims Entry!
You can now complete a claim form online. Login to your myrsc account and select "online Claims Entry", complete the form, print, and sign. Then FAX or mail with your receipts. It's just that simple.

For questions call 1-800-554-0528