ADDITIONAL RESOURCES AVAILABLE ABOVE
Flexible Spending Accounts and Health Reimbursement Arrangements

FLEXIBLE SPENDING ACCOUNTS (FSA)
and
HEALTH REIMBURSEMENT ARRANGEMENTS (HRA)

Use Custom Flex to:
Check account balance, deposits, reimbursements and track receipts


Using Custom Flex

Instructions for Filing a Claim

WHAT WE NEED When using the FSA Card:
If the FSA Card is used, we will send a letter if anything is needed. Please do not send anything in unless you get a letter. Most transactions are tracked and do not need further documentation.

For anything other than FSA Card:
Depending on the type of FSA, information needed for claims will vary. Please see the FAQs page for more information on what is needed.

FSA CLAIM FORM

PLEASE NOTE:
CREDIT CARD STATEMENTS
DO NOT CONTAIN ENOUGH INFO
FOR SUBMITTING CLAIMS.

ONLINE
  • Click Custom Flex Login.

  • Follow prompts to complete your claim electronically.
      User Name: First initial Last Name Last4SSN (Ex: jsmith9999)

      Password: Customflex

  • You may file a claim, check account balances, and review claims history.

  • Upload documentation and submit.

  • Retain a copy for your records.
  • MOBILE Mobile App available for Android and Apple devices.

    FREE download from the App Store
    (Search for "CustomFlex").

     
    EMAIL Complete the FSA Claim Form and attach scanned documentation to the email.

    You may also use this email address for all other questions and forms.

    CustomFlex@CustomDesignBenefits.com
    FAX Complete the FSA Claim Form and fax with documentation.
    513.598.2901
    MAIL Complete the FSA Claim Form and mail with documentation. (Please retain copies of your documentation) Custom Design Benefits
    5589 Cheviot Road
    Cincinnati, Ohio 45247
    QUESTIONS 513.598.2929 Local Cincinnati
    800.598.2929 Toll-Free