Complete the Recurring Premium Attestation Form found under the Documents tab in your individual account on the BRIWEB, and mail the completed form to Benefit Resource, to the address listed on the top right of the form. Note that you will need to complete a new attestation form for each calendar year and upon any change to your premium amount. To receive your reimbursement via direct deposit, complete the Direct Deposit Reimbursement Form found in the Documents tab as well.
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245 Kenneth Drive
Rochester NY 14623-4277
EMPLOYEES: (800) 473-9595
EMPLOYERS: (866) 996-5200
Benefit Resource and BRI are tradenames of Benefit Resource, LLC. Benefit Resource, LLC is an affiliate of Inspira Financial Health, Inc. and Inspira Financial Trust, LLC. Benefit Resource, LLC does not provide legal, tax or financial advice. Please contact a professional for advice on eligibility, tax treatment and other restrictions. Inspira and Inspira Financial are trademarks of Inspira Financial Trust, LLC.
The Beniversal and eTRAC Prepaid Mastercards are issued by The Bancorp Bank, N.A., Member FDIC, pursuant to a license by Mastercard International Incorporated and may be used for eligible expenses everywhere Mastercard is accepted. Mastercard and the circles design are registered trademarks of Mastercard International Incorporated.
HSA Custodial Services are provided by a separate financial institution. See your HSA Account Agreement for specific account terms.
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