SISC, 2000 K Street Bakersfield, CA 93301
661.636.4710
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The SISC FLEX Plan
Pay medical and dependent care costs with pre-tax dollars
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SISC FLEX
Forms
Forms
Certification of Medical Necessity
Claims Summary Worksheet
Dependent Care Claim Form and Filing Instructions
Direct Deposit Authorization Form
Flex Claim Form and Filing Instructions
For Health Care or Flex Card Use
Flexible Spending Account Worksheet
HIPAA Authorization Form
HIPAA Revocation Form
Enrollment Forms
Health Care & Dependent Care
Premium Only Plan (POP)