Allied Funding Advantage Forms

Funding Advantage Downloadable Forms

Funding Advantage Plan
Funding Advantage Brochure
Guide to Alternative Funding
Funding Advantage Sample Proposal
Funding Advantage Plan Sponsor Statement (Employer Form)	Funding Advantage Employee Enrollment Form
Employee/Dependent Waiver (used for all Allied health plans)
Sample Summary Plan Description
Sample Premium Advantage Plan Overview Flyer
Sample Provider Freedom Plan Overview Flyer
Sample HSA Plan Overview Flyer
Sample HSA Provider Freedom Plan Overview Flyer
PPO Network Availability
Agent Compensation Agreement

Formas en Español (Spanish Forms)

Formulario De Inscripción Para El Plan De Salud Autofinanciado
Por El Empleado
(Employee Enrollment Card)

No Cobertura para Empleados y/o Dependientes
(Employee / Dependent Waiver)

State Availability
The Funding Advantage plan is currently available for sale in CA, GA, IA, IL, IN, KS, MO, NE, NV, OH, OK, TN and TX. The plan is also approved for sale in other states. Please contact Allied Sales Support for quotes in states not listed above.

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