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Rapport Forms

HRA Claim Form | Required to submit a claim for an HRA managed by Rapport
HRA Claim Form.pdf

HIPAA Authorization & Instructions | Required authorization for Rapport to speak with your providers about health issues
Rapport HIPAA Authorization.pdf
Rapport HIPAA Instructions.pdf

Medicare Scope of Appointment | Required by Medicare in order to set an appointment with Rapport to discuss your Medicare needs.
SOA Generic with dental and vision.pdf

*For the most up to date carrier forms, please check the carrier’s website or contact us!

Connect With Us

Rapport Benefits Group

Mailing Address:
207 South 196th Place
Des Moines, WA 98148

Phone: 206.920.5868

Email:

From The Blog - ABCs of The New ACA Reporting Requirements

If payroll and human resources didn’t have enough to do with all this new world employee benefits stuff, the ACA has decided to tack on another report or two, or maybe three. Now, according to the ACAs section 6056, employers with 50 or more employees are required to provide the IRS with a report showing who was covered and how much the employer paid on the employee’s behalf. This will be done through the form […]