Forms

Direct Deposit Authorization 2012
OTC Drug List 2012
Participant Savings Example 2012
Reimbursement Form 2012

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Enrollment/Direct Deposit Form 
Worksheet with Examples of Eligible/Ineligible Expenses
Participant Savings Example
Reimbursement Request Form
Over-the-Counter Drug List 
FAQ 
Information about your Benefits Card
Employee Status Change Form 
Form 5500 Series

Login to access the following forms COBRA client forms

Employee form to report status change and instructions
COBRA Continuation Coverage Election Form 
How to report a COBRA Event & HIPAA loss of coverage 
Important Insurance Notification (with PC) 
Important Insurance Notification (w/o PC) 
New Insurance Enrollee 
Premium Collection Plan Information 
Qualifying Event Form w/HIPAA 
Qualifying Event Form w/o HIPAA 
Voluntary Removal Form 
Mail Transit Period Change Form