Client Resource Center
Healthcare Reform - PPACA
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PPACA Timeline 2011 (498 KB) -
PPACA Timeline 2012 (333 KB) -
Health Care Reform Provisions That Do Not Apply to Grandfathered Plans (492 KB)
COBRA Forms
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Rate Change Notification (30 KB) -
Short Payment Notification (14 KB) -
Model General Notice of Cobra Continuation Coverage Rights (20 KB)
MBI Release
These allow us to interface with carriers and providers on behalf of employees.
I-9 Forms
HIPAA Forms
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Notice of Declining Enrollment (76 KB) -
Notice of Enrollment Rights (64 KB) -
Notice of Special Enrollment (75 KB)
FMLA Forms
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Certification for Serious Injury or Illness of Covered Service Member (213 KB) -
Certification of Healthe Care Provider for Family Member's Serious Health Condition (623 KB) -
Certificatin of Health Care Provider for Family Member's Serious Health Condition (523 KB) -
Notice of Eligibility and Rights and Responsibility (145 KB) -
Designation Notice (110 KB) -
Certificatin of Qualifying Exigency for Military Family Leave (78 KB)
Wellness Articles



