Home / Section 125 l HRA l Wrap SPD Order Forms
Order Forms:
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About PDF Fax or Email Order Forms: The Core Documents’ PDF Fax or Email Order Forms allow you to download and save, or view, fill and print the order form that can be emailed or faxed directly to our office.
Section 125 Premium Only Plan – from $99 one-time
The Core 125 Premium Only Plan allows for tax-free insurance premium (brochure)
Section 125 Premium w/HSA Savings Module – from $129 one-time
The Core HSA allows tax-free Insurance Premium & HSA Savings (brochure)
Health FSA – from $129 one-time fee
The Core FSA allows tax-free medical, dental, vision expenses (brochure)
Dependent Care Assistance Plan FSA – from $129 one-time fee
The Core DCAP allows tax-free dependent care expenses (brochure)
QSE-HRA Plan – from $199 one-time fee
The Core QSE-HRA allows for non-group health insurance and medical expenses (brochure) and (webpage)
NEW – ICHRA Plan – from $199 one-time fee
The Core ICHRA allows for non-group health insurance and medical expenses (brochure) and (webpage)
NEW – EB HRA Plan – from $199 one-time fee
The Core EBHRA allows employers to reimburse Excepted Benefits such as dental, vision, copay & coinsurance expenses. short term health insurance premium, COBRA premium, and supplemental insurance. Any size group qualifies. (webpage)
HRA Plans for 2+ Employees – from $199 one-time fee
The Core HRA for 2+ employee groups for tax-free benefits integrated with group health insurance (brochure)
HRA Plan for 1 Employee or Spouse – from $199 one-time fee
The Core 105 1 employee or spouse (brochure coming soon) (www.core105.com)
Wrap SPD – from $99 one-time fee
The Core SPD is required by the ACA for all employer group health plans (brochure)
Transit & Parking – from $99 one-time fee
The Core 132 allows for tax-free Transit & Parking expenses (brochure)
Core Administration
The Core Admin – Why Outsource Administration? Convenience. (brochure) CoreAdmin
Click here to see our BROCHURES
