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Get Ameriflex COBRA Open Enrollment Form 2021-2024
Arried Email: HRA Enrolled: APPLICANT COVERAGE Coverage: Add Remove Plan Name: Medical Decline Keep Same Dental Vision Rx SPOUSE COVERAGE Applicant Name Address (first, middle, last): (if different from applicant): City: State: Coverage: Add Remove Plan Name: Medical Address DOB: Keep Same Vision Rx Daughter (first, middle, last): (if different from applicant): City: State: Coverage: Add Remove Plan Name: Medical Applicant Name Zip: Decline SSN: DOB: Keep Same.
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Carnegie FAQ
Employees can save up to 40% on thousands of eligible everyday expenses such as prescriptions, doctor's visits, dental services, glasses, over-the-counter medicines, and copays. Every dollar an employee contributes to an FSA lowers their taxable income.
Questions? To learn more about how you can easily manage your healthcare benefit account from your mobile phone, contact Ameriflex at 888.868. 3539 or visit myameriflex.com.
HRAs are funded by the employer to help offset out-of-pocket healthcare costs. Funds are tax-free for the employer and employee. Employees will receive an Ameriflex Debit Mastercard® linked to their HRA. Employees can use their card for eligible purchases everywhere Mastercard® is accepted.
Open enrollment isn't just for your active employees. Your COBRA members also go through an open enrollment period each year.
The Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985 requires employers with 20 or more employees who provide healthcare benefits to offer the option of continuing this coverage to individuals who would otherwise lose their benefits due to termination of employment.
Order a replacement card From your Ameriflex app, go to Menu > Debit Card. Select family member whose card is being replaced. Tap Report Card as Lost or Stolen and Issue Replacement. Check to make sure the address listed is correct, then tap Confirm Replacement.
Through your online account and Ameriflex mobile app, you can check your balance, reimburse yourself for out-of-pocket spending, check the status of a claim, set up direct deposit, and more.
Enrolled Related content
ATTACHMENT 2 PROPOSAL WORKSHEET
COBRA enrollment form, carrier forms, and rate matrix for applicable plans ... • Open...
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