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Employee Health Plan Changes
This form is for existing
Employee Health Plan administrators.
(For
new inquiries
, please visit our
Employers page
and use that
contact form).
Before submitting a request, please log into your
Hint Health business administrator account
to manage your team's enrollments/cancellations, view/update payment methods, access receipts, and more.
*Please note that our front desk is not authorized to enroll Employee Health Plan members. Employees contacting us to enroll will be directed to their employer's HR/benefits admin, to verify
eligibility
.
If you still need support, please email our practice administrator or use this form.
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*
Your email
Name and Title
*
Your answer
Business/Employer Name
*
Your answer
Summary of request
*
Your answer
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