Forms and InformationDENTAL PLANS 2389 RHS Group Enrollment Application Dental-Vision fillable 2867 Enrollment Application for Dental Coverage 2746 RHS Self-Insured Dental Plans (brochure) RHS Dental Network 2871 Participating Dentist Agreement fillable 2825 Proposal for RHS Services 2888 RHS Online Dental Network FSAs 2698 Flexible Spending Account (FSA) Eligible Expenses 2736 Run Out Grace Period Roll Over Document (download) 2747 RHS FSA Brochure 2753 Employee FSA Enrollment Form & Agreement 2754 RHS Reimbursement Form 2755 Adoption Agreement Section 125 (FSA-POP) 2782 FSA Frequently Asked Questions COBRA ADMINISTRATION 2623 RHS COBRA Administration HRAs 2296 Enrollment Application for Group Coverage Fillable Reimbursement form 2299 2886 Direct Deposit Reimburse Fillable 2805 RHS HRA Process 2822 Qualified Small Employers Health Reimbursement Accounts (QSEHRA) POP PLANS 2297 Salary Redirection Agreement (POP-HSA) LOGIN PROCEDURES 2791 Employee/Employer Login Procedure for RHS Secondary Card 2791 Employee Login Procedure for RHS Benefits Card OTHER FORMS 2757 Employer Application (fillable PDF)* 2757 Employer Application (non-fillable PDF)* Section
