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2025 Flexible Benefits Archive

Health Care FSA Plan

2024 Flexible Benefits Archive

2024 Flexible Benefits Plan Summary
2024 Dependent Care Flexible Spending Arrangement
OGB Plan Doc for the State of Louisiana
TASC Request Reimbursement Form
GB-02 Flexible Spending Arrangement Enrollment/Stop Form

2023 Flexible Benefits Archive

Optum Financial FSA Claim Form
Optum Dependent Care Claim Form
Optum Financial FSA FAQs
Optum Fianancial FSA Eligible Expense List
Optum Financial Dependent Care – How it Works
Out-of-Pocket Reimbursement Request Form
GB-02 2023 Flexible Spending Arrangement Enrollment Form
2023 Cafeteria Plan
2023 Flexible Benefits Plan Summary
2023 Dependent Care Flexible Spending Arrangement
2023 Health Care Flexible Spending Plan Doc

Office of Group Benefits     ⋯    1201 N. 3rd St, Suite G-159, Baton Rouge, LA 70802     ⋯     1-800-272-8451
        P.O. Box 44036, Baton Rouge, LA 70804

If you feel your Pharmacy Benefits Manager (PBM) has “steered” you to use a specific pharmacy over your chosen pharmacy, call the Office of Group Benefits (OGB) at 1-800-272-8451 to report the issue.

Legal Statement