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ACA Compliance Benefit Solutions Register For Online Access New Producer Registration
HRA for Employers & Employee Participants - Open New Accounts & Manage Existing Accounts

(HRA para Empleadores y Empleados Participantes - Apertura y Administración de las Cuentas)

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1. HRA Product Sheet - English Download
2. HRA Product Sheet (Características de la cuenta HRA) - Spanish Download
3. HRA Participant Education English Download
4. HRA Participant Education Spanish (Información de la cuenta HRA para los participantes) Download
5. HRA Individual Enrollment - English Download
6. HRA Individual Enrollment (Formulario de inscripción individual a una HRA) - Spanish Download
7. HRA Request For Debit Card - English Download
8. HRA Request For Debit Card (Solicitud de tarjeta de débito HRA) - Spanish Download
9. HRA Medical Claim form - English Download
10. HRA Medical Claim form (Formulario de reclamación por servicio médico de HRA) - Spanish Download
11. HRA Account Change/Termination Form Download
12. Privacy Waiver Form - English Download
13. Privacy Waiver Form - Spanish (Formulario de renuncia a la privacidad de una HSA) Download
14. Employee ACH Authorization Form Download
15. Carrier Integration Subscriber Guide Download
16. Carrier Integration Employee Collateral Download
17. HRA Employer Application Download
18. HRA Employer ACH Authorization Download
19. HRA List Bill - Excel Download
20. HRA Employer Website Guide Download
21. Carrier Integration Employer/Broker Collateral Download
22. HRA Subscriber Website Guide Download