Flexible Spending Forms
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HealthPartners Flexible Spending Dependent Care Claim Form
Claims are administered by HealthPartners for claims status and specific questions contact HealthPartners.com or 952.883.5000
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HealthPartners Automatic Claims Submission Opt Out Form
Use this form to opt out of automatic medical flexible spending reimbursement. All reimbursements from your FSA will be a manual process. For further information contact HealthPartners.com or 952.883.5000
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HealthPartners Direct Deposit Form
Use this form to start, stop or change direct deposits into your bank account. For further information contact HealthPartners.com or 952.883.5000