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Contact Us

To request a Health Savings Accounts Package, simply fill out the form below or
call 1-888-672-1997. Comments or questions can be sent to richard@eglee.net

 
CONTACT FORM                                                                                
   Company Name ::
   Contact Name ::
   Address ::
  City , State, Zip ::
  Phone Number ::
  Fax Number ::
  Email Address ::
  Would you also like information on HSA eligible health plans?
Yes, for an individual Yes, for a group No

  If yes (for an individual), please fill out the following         

   information:

  Applicant Date of Birth ::
Smoker Non Smoker
  Spouse Date of Birth ::
Smoker Non Smoker
  Children? ::
Yes No
  Age ::


 

You can also reach Benefit Administrators through telephone and/or mail.

Our address is:
Benefit Administrators
1009 Oak Hill Rd., Third Floor
Lafayette, CA 94549
Our Phone number is: 1-888-672-1997

Our facsimile number is: 1 (925) 299-8010