Please complete the online form - dependent care claim or medical claim. You can fax the form, along with documentation, to (516) 620-0789 or (212) 994-0400, email the form to firstname.lastname@example.org or mail the form to the address located at the top right hand of the document.
If I have terminated employment with my company, how do I submit a claim for my Medical Care or Dependent Care plan? Print
Modified on: Thu, 18 Jun, 2020 at 2:39 PM
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