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Client Links & Form Downloads

  • 1
    Coverage termination request (COBRA Eligible) COBRA Clients only!
  • 2
    Coverage Termination Request - Non COBRA Clients
  • 3
    Voluntary Drop of Coverage Request
  • 4
    Life, STD & LTD Only Coverage Termination Request
  • 5
    COBRA Service Agreement
  • 6
    72 Hour Term Request
  • 7
    Background Check Service Agreement
  • 8
    Background Check Authorization
  • 9
    Adverse Action Letter With FCRA Notice
  • 10
    Pre-Adverse Action Letter With FCRA Notice
  • 11
    Summary of Your Rights Under the FCRA
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