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Get Select Benefits Case Transmittal Sheet

: Please fill out and forward to Select Benefit Administrators of America (SBAA) along with a copy of the employer s plan matrix and completed application. (Complete means all fields are filled in and boxes checked.) Coverage may be delayed if these steps are not followed correctly. An incomplete application will be sent back to you. Application Checklist The Plan Selected field notes which plan(s) from the matrix is being offered. For example, if the matrix shows four plans and the employer i.

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