FORMS
S.No.
 Form Name
Link to PDF File
Link to Word File
1
 AccertaChoice Private Health Services Plan Administration Contract
2
 AccertaChoice (Plus) Plan Sponsor Agreement
3
 AccertaFlex Private Health Services Plan Administration Contract
4
 AccertaFlex Plan Sponsor Agreement
5
 Employee Benefit Enrolment / Change Form
Medex
Medex
6
 Employee Benefit Enrolment Form Instructions
7
 Plan Sponsor Enrolment Form
8
 Extended Health Care Expense Form
9
 AccertaChoicePlus Remittance Form
10
 AccertaFlex Remittance Form
11
 Accerta Master Application
AccertaChoice/ Accerta HCSA
Medex
Medex
 
 

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