Tax Free Health, Downloadable Forms PHSP

Downloadable Forms PHSP

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Downloadable Forms

Forms required to enroll your company:

Administrative Service Agreement

Client Account Information Form

Employee Enrollment Form - one per participating employee

Employee Opt Out Form - for employees who choose to not paticipate in the plan

Claim Forms for employees of companies which are enrolled in their Tax Free Health Inc. Private Health Services Plan:

Fillable and self-calculating Claim Form

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