Fireclay Benefit Forms/Resources


2025 Benefits Enrollment Guide

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Ascensus

Distribution Form

Charitable Giving Matching

Charitable Donation Match

Employee Referral Program

Employee Referral Program information

Khai Lam

Khai Lam Family Fund Form

Tuition Reimbursement

Tuition Reimbursement form

Flex Benefit Claims Form

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HSA Benefits Claim Form

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Required Notices


Newborn and Mothers’ Health Protection Act

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Women’s Health and Cancer Rights Act

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Required Chip Notice

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HIPAA Notice

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Additional Resources

General Insurance Terminology

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Glossary of Health Coverage and Medical Terms

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HSA and Other Tax-Favored Health Plans, Publication 969

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