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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 - ARE YOU READY FOR THE NEW DOL AUDIT!

The Department of Labor is out in force and you can’t stop the rampage. After all, they have to subsidize the exchange tax credits somehow, right?! The penalties associated with being out of compliance with the ACA can cause a company to go out of business. The penalty for non-compliance is generally $110 per day, per individual, per violation. But don’t worry, there is a cap – $500,000. According to a Seattle Business Magazine article, […]

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