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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.

Vision Expense
Reimbursement Form

Submit to AGA via email or mail.

© 2018 by Automated Group Administration, Inc.

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