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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

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

Phone: 206.920.5868

Email:

From The Blog - Are you ready for Open Enrollment Season??

With over 69% of all employer sponsored health plans renewing January 1, 2017 it’s time to get ready for your employees Open Enrollment period; but are you going to be ready? 2017 holds new legal changes affecting the design and administration of your plans. You should review your plan documents to confirm that they include the required changes. Do you have a Summary Plan Description “SPD” or summary of material modifications “SMM”? This is different […]

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