Forum Wellness | LHD Benefit Advisors

Step 1 - Enter Your Contact Info
Your First Name*
Your Last Name*
Date of Birth*
MM slash DD slash YYYY
Your Email*
Step 2 - Submit Your Expenses

To submit your reimbursement request, complete the form below and attach your receipt(s). Please ensure the receipt(s) you submit shows the date of purchase, the amount to be reimbursed, and the item for reimbursement.

Submitting your expense(s) does not guarantee reimbursement. Within 5-10 business days of your submission, you will receive an email notification that your request has been approved or denied. For questions, please call the support line at (317) 343-2746, available Monday through Friday from 9:00 am to 5:00 pm EST, or email FORUMWellness@lhdbenefits.com.

FORUM Credit Union Wellness Bucks
My Wellness Bucks Type*
Reimbursement Amount Requested*
Provide a brief description of your My Wellness Bucks*
Purchase Date*
MM slash DD slash YYYY
Attach a scanned image, PDF, or picture from your smartphone. Please make sure your attachment includes: 1) date of purchase 2) amount for reimbursement 3) item for reimbursement.*
Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 50 MB.

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