Documents & Forms
Employer Documents & Forms
Bancorp Debit Card ACH AuthorizationDownload: Bancorp - Debit Card ACH Authorization - Employer
HRA Census TemplateDownload: HRA Census template
This is an Excel template for employers to submit their HRA census information to csONE Benefit Solutions. The completed census should be submitted to flexiblebenefits@csONE.com via secured email prior to initial setup and renewal. Contact the Flex Department if you do not have a secure email login.
COBRA Request for ProposalDownload: csONE_COBRA_rfp
If you would like a proposal for COBRA Administration, fill out this fillable PDF and return it to our Marketing Administration Department.