Administration, Reference and Forms

 

Reference

·         Summary Plan Description- A sample of the Plan Description employees receive. 

·         HRA Fund Eligible Expenses- Description of eligible expenses for HRA fund.

·         ASB Service Agreement Sample- A sample of Alliance for Small Business's service agreement.

Forms

·         HRA Claim Form- The claim form for HRA employees to use to get reimbursed for expenses they paid for.

·         Employee Change in Status Form- The form used by employee to close their HRA.

 

Agent Materials

·        HSA and Individual Quoting Engine- Click here to get your individual quotes.

·         HRA Packages- Descriptions of ASB's Health Reimbursement Accounts.

·         HRA requirements for Self-Employed Individuals- List of requirements needed for self employed/2 life group plans.

·         HRA Quote Engine For ASB Packages- Click here to get your groups HRA quotes.

ENROLL NOW!


Alliance For Small Business

PO Box 101807

Fort Worth, TX 76185

Phone: (866) 261-4262

or (817) 732-6155

Fax: (817) 377-9591

 

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