Self-Administration Forms

Lump-Sum Self Attestation Form
This form should be completed annually for lump sum accounts.

Structured Annuity Attestation Form
This form should be filled out annually for annuity accounts.

CMS Annual Accounting Link
Submit your annual account via the CMS WCMSA Portal.

General Forms & Resources

Opal and Onyx Homelink Services
Printable form that shows the Homelink services that are available through Opal (Professional Administration) and Onyx (Self-Administration).

How to Bill Bridge Pointe
Download and print this form to help your medical provider properly bill Bridge Pointe.

MLN Matters Newsletter SE17019
Print this out and take to your medical provider. This will help them understand how an MSA account works.