Forms

Update Your Information

Use remote access to log in to Infor Global HR (available through CapsLive) and review and/or change your benefits information.

Remote Access

Please note that the forms below pertain to your 2021 FSA program.

Flores Dependent Care Claim Reimbursement Form

Flores Dependent Care No-Wait Claim Form

Flores Direct Deposit Form

Flores Medical Reimbursement Form

 

For 2022 savings and spending accounts, please visit the Virtual Benefits Fair. 

  • Username: nh2022
  • Password (case sensitive): novanthealth

Visit the virtual benefit fair >