OOS Plan Member Health Care Expenses Claim Form

OOS Plan Member Health Care Expenses Claim Form
Download: OOS-Plan-Member-Health-Care-Expense-Claim-Form-20200703.pdf

The Out-of-Scope Plan Member Health Care Expenses Claim Form is used by OOS employees to submit health care spending account expenses to Great-West Life. This form can be completed online and then printed, signed and mailed to Great-West Life for processing.



Plan Type: Flexible Spending Account
Document Type: Form
Effective Date: 07-Jul-2020