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What is Needed to Get Rates
Benefit Summary – your current insurance plan summary
Invoice – your current insurance bill or invoice
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
Complete this online form and attach required documents.
Download and complete this printable form. Email, fax or mail form and required documents to:
(m) INEDA Healthcare,
301 Oak Ridge Circle
Waverly IA 50677
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