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Ameriflex Flexible Spending Accounts

Curious to learn more about Flexible Spending Accounts? Use this form to find out more.

Your Guide to Getting Started with the MyAmeriflex App

Easily manage your flexible spending account from your mobile phone or tablet!

Florida Blue PHI Form

This form authorizes Florida Blue to release your PHI to others.

Express Scripts Direct Claims Form

This form is used to be reimbursed for prescriptions.

Florida Blue Mobile App

Download the Florida Blue mobile app today!

FRS Beneficiary Form

FRS Beneficiary Form

COBRA Continuation of Coverage Notice

Is Continuation of Coverage through COBRA right for you?

Express Scripts Temp ID Card

Need a Temp ID card for Express Scripts?

Humana PHI Form

Humana PHI Form

Humana Dental Claim Form

Humana Dental Claim Form

Florida Blue Medical Claim Form

Florida Blue Medical Claim Form

Express Scripts Appeal Form

Express Scripts Appeal Form