If sending in a request for quotation (or RFQ) for the SummaCare Chamber HBP, you need to complete the SummaCare Chamber HBP Census. This completed census should be emailed to support@formfire.com.
NOTE: FormFire won't process your RFQ if sent on a different census.
Instruction for Completing Census File
- Enter all Employees' names with their associated Sex (M or F) , Age, Member Type and Contract Type. (Enter "Child" in any children's Sex field)
- After each Employee, add a row for each related Spouse and each Child and provide the associated data.
- Enter the Group Name, Effective Date and the Group County in cells B3, B4 and B5.
Data Entry Rules
Member Type values may include:
- Employee
- Spouse
- Child
Contract Type values only need to be added to the Employee lines and may include:
- Single
- EE+SP
- EE+CH
- Family
- Waive
NOTE: FormFire will process your RFQ and provide rates directly to you within 24 hours.
Click here to see how you can contact our FormFire Customer Support team for technical assistance. If you need to reach any other department, please visit our Contact FormFire page for additional options.
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