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Online Application

Complete your benefits administration application in one place. All information is sent securely to our team and we'll follow up within one business day.

Step 1 of 8: Company Info13%

Step 1: Company Info

Tell us about your contact, company, and benefit-eligible employee count. You'll see your rate on the next step.

Your Contact Information

Company Information

Use legal name as filed with tax authorities.

Required for plan documents, reporting, and banking authorization.

Employee Count

Employees eligible for FSA, LSA, HSA, or DCAP.

Questions? Call us at 772-334-3995 or email [email protected]