2024 Flexible Spending Enrollment Form

  • Saint Louis County 

    Flex Election Form
    Plan Year: 2024

     Instructions: To enroll in your employer's flex plan, please complete all required fields and hit Submit. 
  • Phone Number
  • Your own personal home or work email address is mandatory if you are ordering or renewing a flex debit card. Otherwise, you can provide any email address of your choosing. It will then only be used to email a confirmation of your enrollment.