	BROKERS & CONSULTANTS
	Partnering With Benesyst Requesting a Proposal Consultants, Brokers and Project Management Mid-Year Takeovers/Urgent Situations Products and Services

CONTACT INFORMATION

Sales & Marketing:	1.866.786.3366
Corporate:	1.877.251.9981

Customer Care Center:
FSA:	1.800.670.7131
COBRA:	1.877.401.9807
BeneSmart:	1.877.271.1342

Fax for Claims:	1.800.310.8279

Benesyst > Brokers and Consultants > Request a Proposal

Requesting a Proposal

Requesting a proposal from Benesyst is easy. Just fill out the form from your computer and email or fax it back to us. All Forms with Benesyst are editable directly from your computer.

FSA Proposal Request Form
FSA Proposal with Transportation Reimbursement Account Request Form
COBRA Proposal Request Form
COBRA and Retiree Billing Proposal Request Form
Electronic Enrollment and Eligibility Management Proposal Request Form