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  • Direct Billing / Retiree Billing

Employers Direct Billing / Retiree Billing

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Renewal Documents

Checkmarks indicate what is needed to complete your renewal per service offering. If you have any questions, please contact your dedicated account manager. Please return your completed renewal package 60 days prior to plan start date to renewal@benstrat.com.

  Complete and Return Renewal and Change Form Provide Summary of Benefits Provide Updated Payroll Calendar Provide new Plan Rates (without 2%) Premium Billing Plan Changes Form (any change)
Direct Bill - LOA  
Retiree Billing  

Forms