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Automated Group Administration, Inc.

Prompt, courteous and cost effective administration for your employee benefit plans.

Forms Library

PHI Authorization &
Disclosure
 

Authorize an individual other than the member to discuss personal health information.

PHI Authorization &
Disclosure
Coordination of Benefits
 

Annual Requirement for members covering a spouse or child on the plan.

 

Change Form
 

Update name, address, and other information regarding coverage using this form.

Submit through your employer.

© 2018 by Automated Group Administration, Inc.

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