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FSA/HRA/COBRA PARTICIPANT CONTACT CHANGE FORM USE THIS FORM TO NOTIFY BEN OF A CHANGE IN ADDRESS, EMAIL, PHONE OR NAME Email completed and signed form to Support BenX.com or Fax to (801) 2241903 A.S.A.P
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How to fill out participant contact info change:

01
Access the participant contact info change form. This form may be available online or you may need to obtain a physical copy.
02
Fill in the necessary identifying information. This typically includes the participant's full name, unique ID number (if applicable), and contact information such as phone number and email address.
03
Specify the reason for the contact info change. This could be due to a change in address, phone number, or any other relevant details.
04
Provide the previous contact information. This is important for verification purposes and to ensure that the correct participant record is being updated.
05
Double-check all the entered information for accuracy. Ensure that there are no spelling mistakes or missing details that could cause confusion.
06
Sign and date the form, if required. Some forms may require a signature to authenticate the request.
07
Submit the completed form. Follow the designated instructions to submit the form to the appropriate department or individual responsible for processing the contact info change.

Who needs participant contact info change?

01
Individuals who have recently moved and need to update their address in participant records.
02
Participants who have changed their phone number or email address and want to ensure they receive relevant communication.
03
Organizations or institutions that require up-to-date participant contact information for administrative purposes.
04
Event organizers or program coordinators who need accurate participant contact details for registration, communications, or other organizational purposes.
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Participant contact info change is the process of updating or modifying a participant's contact information.
Employers or plan administrators are required to file participant contact info changes.
Participant contact info changes can be filled out online through the designated platform or by submitting a paper form.
The purpose of participant contact info change is to ensure accurate and up-to-date contact information for participants in a plan.
Participant contact info change typically includes the participant's name, address, phone number, and email address.
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