Third Party Administration for
Employers with Self-Funded
Health Benefit Plans

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First Name *

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Last Name *

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Company *

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Job Title *

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Address

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City

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State

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Postal Code

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Email *

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Work Phone *

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What Services are you looking for? (Check all that apply)

Claims Administration

Online Enrollment

Online Benefit Management

Custom Reporting

Care Management

Billing, Cash Application & Reconciliation

COBRA Administration

FSA

Bilingual Services

Do you currently work with TPAs?

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