Preferred DCA Header - Forms and Materials

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## ## Velocity Transform Template ## ## All dynamic elements in a structure can be accessed as a Velocity variable. ## ## The given structure: ## ## ## ## ## ## ## ## ## ## ## ## ## ## ## The dynamic element "main-text" can be accessed in the following ways: ## ## $main-text.getName() - The name "main-text" ## $main-text.getData() - The data in the article for main-text ## $main-text.getType() - The type "text-area" ## $main-text.getChildren() - A collection with two nodes (sub-image and ## sub-text) that can be used in the #foreach clause ## $main-text.getSiblings() - A collection of elements with the name ## "main-text". This will only return more than one ## element if this element is repeatable. ## ## One special accessor exists for elements of type "multi-list": ## ## $ms-list.getOptions() - A collection with up to three string entries ## (chocolate, strawberry, or vanilla) that can be used ## in the #foreach clause ## ## Another special accessor exists for elements of type "link_to_layout": ## ## $linkToPage.getUrl() - The URL that links to the selected page in the current ## community, organization, etc. ## ## The variable $journalTemplatesPath can be used to include another Journal ## template, e.g. #parse ("$journalTemplatesPath/LAYOUT-PARENT") ## ## The variable $viewMode specifies which mode the article is being viewed in. ## For example, if $viewMode evaluates to "print", that means the user clicked ## the print icon to view this article. ##

Preferred DCA - Forms and Materials

Request for Reimbursement Preferred Dependent Care Account Form

 

To file a request for reimbursement:

  1. Fill out the form online by downloading this version:
         Reimbursement Preferred Dependent Care Account Form.

  2. Fill out the form by hand by downloading and printing this version:
         Request for Reimbursement Preferred Dependent Care Account Form.
  • Send or fax the completed form to:
      Preferred Blue Accounts
      P.O. Box 11586
      Birmingham, Alabama 35202-1586
      Fax 205 220-7991 (Local) or 1 877-889-3610 (Toll Free)

 

Preferred Blue Accounts Direct Deposit Service Form

 

To start the direct deposit service:

  1. Register online for the Preferred Blue Accounts Direct Deposit Service
  2. Complete the paper form offline by the following option:
  • Download a Preferred Blue Accounts Direct Deposit Service Form
  • Complete the form and send with a cancelled or voided check to:
      Blue Cross and Blue Shield of Alabama
      ATTN: Treasury Operations
      450 Riverchase Parkway East
      Birmingham, AL 35244-2858
      or Fax 205 220-2795

 

Preferred Blue Accounts Dependent Care Account Brochure

 

Download a Preferred Blue Accounts Dependent Care Account Brochure