OOS Lifestyles Spending Account Claim Form

OOS Lifestyles Spending Account Claim Form
Download: oos-lifestyles-spending-account-claim-form.pdf

The Lifestyles Spending Account (LSA) Claim Form can be used by eligible employees to submit their eligible expenses to 3sHealth for adjudication.



Plan Type: Flexible Spending Account
Document Type: Form
Effective Date: 19-Jul-2016