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Explore Costs

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What is Needed to Get Rates

  1. Benefit Summary – your current insurance plan summary

  2. Invoice – your current insurance bill or invoice

  3. Wage & Tax Report – your most recent state wage and tax report

  • Iowa = Form 65-5300 | Nebraska = Form UI 11W

 

*if required documents are not available to attach or mail at this time, the Benefit Advisor team will follow up with you to get the additional information needed.

How Do I Get Rates

Submit Online

​Complete this online form and attach required documents.

 

Submit Paper

​Download and complete this printable form. Email, fax or mail form and required documents to:
(e)  healthcare@ineda.com 
(f)   319.352.2075  
(m) INEDA Healthcare,
       301 Oak Ridge Circle
       Waverly IA 50677

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