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SUMMARIES & FORMS
www.rcmoldingbenefits.com
©2022 Resource Equity Group
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Enrollment Forms:
All completed enrollment forms should be sent to our broker:
Resource Equity Group
P.O. Box 5556, Greenville, SC 29606
or, Fax 864-242-0698
or, email to mailbox@regroupusa.com
Use this form to enroll in the health plan with Allied National.
Use this form to enroll in the dental plan with Blue Cross
Use this form to enroll in the Life Insurance & Vision plan with Companion
Use this form to make your payroll deductions "pre-tax"
Health Insurance Documents:
This document outlines the health benefits.
This is a detailed description of your medical coverage.
Frequently Asked Questions about providers
Prescription Drugs:
Search for a Prescription Drug HERE (Use Group Number SSNANC)
Dental Coverage:
Use this form if your dentist doesn't file claims.
Life Insurance & Vision Benefits:
Miscellaneous Benefits & Documents:
INTL Mail Order Program. For high cost brand name Rx
Medicaid and the Children’s Health Insurance Program (CHIP) offer free or low-cost health coverage to children and families.
benefits website
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