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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!

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Rapport Benefits Group
Physical Address:
2367 Tacoma Ave S
Tacoma, WA 98402
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Mailing Address:
12708 252nd St E
Graham, WA 98338

Phone: 253.753.9930
Toll Free: 844.523.2633
Fax: 253.442.6092


From The Blog - Is this a Football Game or are we talking about Health Insurance?

It feels like a quarterback calling out a play, 6056, 1095, 4980H – HIKE!, but employers are reporting which employees had health insurance and for how many months during the year. The Affordable Care Act (ACA) created reporting requirements in Internal Revenue Code (Code) Section 6056. Under these rules, applicable large employers Applicable Large Employer (ALEs) subject to the employer shared responsibility rules must provide information to the Internal Revenue Service (IRS) about the coverage […]

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