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Documents

Main Documents

  • ICHRA Attestation & Coverage
  • HRA Simple PHI Form

Broker Documents

  • Request Broker ICHRA Presentation
  • HRASimple Broker Brochure
  • HRASimple Flyer

Retiree HRA Documents

  • Retiree HRA Attestation & Coverage Form

Need Help?

Contact Customer Service

  • Assist@HRASimple.com
  • (888) 851-9613

 

 

 

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Notice

The HRASimple Portal will undergo system upgrades and will not be available noon on Thursday, August 18  to mid-morning, Friday, August 19. We apologize for the inconvenience.

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