Flexible Spending Plan Denial of Benefits: $25.00

This letter may be used by employers to inform employees that they have been denied coverage in the company's benefits program because the employee missed the election deadline. Under federal law for flex plans, elections of coverage must be made before the effective date of the coverage.

If you have not registered yet, please register with Tyler Lee Randolph, P.C.

First Name
Middle Initial
Last Name
Address Line 1
Address Line 2 (optional)
Zip Code
How did you find out
about this site?
Create a Username
(at least 6 characters)
Create a Password
Confirm Password
Limited Services Agreement

If you have already created your account with Tyler Lee Randolph, P.C., please log in here.

Forgot your username or password?