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WEX COBRA and Direct Bill
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Forms & Resources

General Information

General Information

COBRA & Billing Guide for Employers

What is LEAP?

COBRA Reporting Options Overview

Sample Remittance Report

Remittance Overview

Sample COBRA Notices

Sample Direct Bill Notices

Sample Eligibility Update Notification

Understanding Your Administrative Fee Invoice

Administrative Invoice Fee Descriptions

Whitelist Info Sheet

 


COBRA & Billing Guide for Participants

COBRA and Direct Bill Mobile App

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Forms

Forms

ACH Authorization Form

How to complete the ACH Authorization Form

W-9

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Videos

Videos

LEAP Overview

COBRA and Direct Bill Employer Portal

 

COBRA and Direct Bill Participant Portal

Introducing the COBRA + Direct Bill by WEX Mobile App

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Frequently Asked Questions

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