Administered by Fringe Benefits Management Company

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Virginia DOA Provider Network Vendor Information

Administrative Information

Vendor Manual

Required Forms

Frequently Asked Questions

Payroll Schedules

Payroll/HR Contacts Listing (Excel)

Required Forms

Post-Tax Salary Deduction Agreement (SDA)
Pre-Tax Salary Reduction Agreement (SRA)
Cash Match Form (CMF)

Fringe Benefits Management Company
3101 Sessions Road, Tallahassee, FL  32303
800-533-2738,  (fax) 850-425-6220
Contact FBMC Customer Service

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