Employer Plan Set-Up / Brochures

NOTE: Please download the PDF forms to your computer before filling them out. Please be sure to follow instructions listed on the form. Please “Type ” your information into the form, making sure to complete each section in its entirety. Print, sign, date and fax or U.S. Mail to IntegraFlex. By doing so, you will ensure your submission is processed correctly and in a timely manner.

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PDF "Fillable" Administration/Enrollment Applications:

Employer COBRA Administration Set-Up

Employer FSA/HRA/HSA Plan Set-Up

Employer Premium Only Plan (POP) Set-Up

Administrative Fees - ACH Bank Authorization

Claims - Bank Authorization

PDF Employer Brochures:

Employer COBRA Brochure

IntegraFlex Puzzle