MemberXG Benefit system

Want to check eligibility or the status of your claim? Log on to MemberXG and check your information online, available 24 hours a day, seven days a week

Downloads (Forms)

Direct Deposit Authorization Form
IRS Publication 502 – Medical Expenses
Medical Expenses Eligible for Reimbursement
Medical Reimbursement Account Claim Form and Instructions
Notice of Privacy Practices
Over the Counter Drugs Eligible for Reimbursement

The FUJIFILM MRA Customer Service Telephone line (866-444-FUJI) operating hours are 8:30 am to 6:00 pm (EST), Monday through Friday, except for holidays

These forms are published on this page by Associated Administrators, LLC
on behalf of the Client Fund and are meant solely for the use of their participants.