Other Benefit Forms

• Health Care Flexible Spending Account (HFSA) Claim Forms
• Dependent Care Flexible Spending Account (DFSA) Claim Forms

• If you are enrolled in an HFSA: Use Alight Smart-Choice Accounts to be reimbursed for eligible healthcare expenses. You can use your Alight Smart-Choice HFSA debit card or submit claims to Alight Smart-Choice.
• If you are enrolled in a DFSA: Use Alight Smart-Choice to be reimbursed for eligible dependent care expenses
• Submit claims (and attach necessary documentation) for reimbursement of eligible expenses

Your Benefits Resources (YBR) website:
digital.alight.com/nokia
1-888-232-4111 (TTY 711)

Long-Term Care Insurance Plan Forms

Note: Plan closed to new entrants

Complete a form when filing a claim or to grant MetLife access to your medical records from your physician

MetLife:
1-800-984-8651

Savings Plan Forms

• Request a Rollover Contribution Form
• Get other required forms (if any)

YBR website:
digital.alight.com/nokia
1-888-232-4111 (TTY 711)

Nokia Declaration of Domestic Partnership Form

Complete and submit the form when Nokia requests confirmation of your relationship with your domestic partner

Questions? Call 1-888-232-4111 (TTY 711)