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  • Home
  • About RCI
    • About RCI
    • RCI History
    • Our Services
    • Partners
    • PPO Cost Management
  • Resources
    • Employer Resource Center
    • DOL Compliance Assistance Guide
    • Regional Care ACA Guide
    • Affordable Care Act (Additional Information)
    • Medicare
    • Cafeteria Plans
    • ERISA
    • Family and Medical Leave Act
    • Employer Required Notices
    • Self Funding Success
  • Contact RCI
  • Forms
    • Coordination of Benefits
    • Claims Form (Not For FSA/HSA/HRA/DCAP)
    • Accident Form
    • Appointment of Personal Representative Form
    • Dependent Care Reimbursement Form
    • Select Flex/HSA/HRA/MERP Reimbursement Form
    • New Provider Access
    • Employee Recognition
    • 1095 Worksheet – Sample
  • Login

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