401(K) Plans
We can quickly set up a new plan for your company or administer your existing plan.

Section 125 Cafe' Plans
Flex Medical and Flex Dependant Plans are an economical benefit program for your employees.

  

Links to the forms are below.  In order to process your claims in the most accurate, efficient manner, please review the  following. 

If you omit or provide inaccurate

required information,

you risk having your claim delayed.

Payment: Any claims against flexible medical accounts will be paid to the employee, not to a third party.  We cannot pay bills automatically.

Please be aware: insurance premiums cannot be paid with reimbursement monies!!!

Claims need to be filled out in their entirety.  All data fields in the top portion of the form must be completed. 

Provide the correct name of your employer.  If you are unsure how your company's name is listed in our records, please contact your Human Resources Department or our office at the number below. 

In addition to your employer and name, please make sure your address is legible because this address is the one used for mailing purposes. 

The expense occurred areas, as well as the total expense field, must be filled out in order to document the amount of money you are requesting to be released from you account.

You must include receipts with any and all claims.  Cancelled checks do not adequately fulfill this requirement.

Claims are processed on Tuesdays and Fridays.  Claims received at the office after 10:00am on Tuesday will be processed the following Friday.  Claims received after 10:00am on Friday will be processed the following Tuesday.

Do not forget to sign and date the bottom portion of your claim form.

Not all Plans have all services offered.  Please fill in the section(s) that apply to your company's Plan.

Verify that you are sending your claims to the correct address and/or fax number listed below:

ADMINISTRATIVE INFORMATION MANAGEMENT, INC.

PO BOX 24456

LOUISVILLE, KY   40224

FAX:  (502) 426-6569

Once your reimbursement check arrives, please check the correctness of the address and inform us of any errors.

By clicking on a form below, you agree that you have read and understand this information.