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Forms Healthcare	Forms - Healthcare

HEALTHCARE CORPORATE GIFTS FINANCIAL AND TAX EXPATRIATES EDUCATION AND OTHER

Dental (ExxonMobil Dental Plan) Dental Claim Form (includes instructions and related documentation   Medical Expatriate Prescription Authorization (Medco) Medical Claim Form POS II - Including instructions Medicare Supplement Plan Claim Form Ordering Medications from Medco By Mail (mail order pharmacy) Prescriptions Claim Form (Medco) Physician Nomination Form POS II U.S. Expats & Rotators Mail Order Anti-Malarials Anti-Malarial Mail Order Program Notice ExxonMobil Expat Skill Center Letter to Employees Explaining the Program ExxonMobil Malaria Chemoprophylaxis Prescription Fax Order Form Word Document (you can edit, save and attach to an e-mail) PDF Document (you can print, write on changes, bring or mail to prescriber - changes cannot be saved) Pre-Tax Spending Plan (Flexible Spending Accounts) Employee Affidavit - Flexible Spending Account Dependent Care Reimbursement Account Employee Affidavit - Flexible Spending Account Health Care Reimbursement Account Pre-Tax Direct Deposit Form Dependent Care Flexible Spending Account Claim Form Health Care Flexible Spending Account Claim Form Health Care Flexible Spending Account Over-The-Counter Claim Form Pre-Tax Claim Instructions IRS Publication 502 - Medical and Dental Expenses IRS Publication 503 - Child and Dependent Care Expenses IRS Publication 2441 - Instructions for Child and Dependent Care Expenses IRS Form 2441 - Child Care and Dependent Expenses IRS Forms Internet Site

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