Request for Proposal

FSA • HSA • HRA • COBRA • Transportation

Discovery Benefits is transforming the complexity of employee benefits administration with innovative solutions and extraordinary customer service delivered by empowered and knowledgeable employees.

Simply put, we work hard to make it easy to do business with us.

When selecting an employee benefits provider for your clients, you want to be sure the benefit provider is experienced, has the necessary expertise and is committed to superior service. Discovery Benefits has the experience, expertise, and commitment and is backed by sophisticated systems and technology to make your clients’ employee benefit programs a success.

For your protection, please do not send any personal information via e-mail (i.e. Social Security Number, date of birth, account number, etc.).

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First Name (person requesting proposal):
Last Name (person requesting proposal):
Agency/Consultant Name:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Phone Number:
Fax Number: (optional)
Email Address:
Products or services about which you would like a proposal:	Flexible Spending Account Premium Conversion (Premium Only Plans, POP) COBRA Health Reimbursement Arrangement (HRA) Health Savings Account (HSA) Transportation Spending Account
Group Name:
Group Size:
Group Location: (city or cities)
Flex Plan Year: (if applicable)
Date Proposal Needed:
Additional comments or special requests:
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