|
Please print the form(s) you need, complete them and return them to:
Alliance Benefit Group of Illinois
MyHSA
456 Fulton St., Suite 345
Peoria, IL 61602
Or fax them to 800-688-4329
*If you have questions please call our Help Desk at 800-57MyHSA (800-576-9472)
*In order to view and print forms, Alliance Benefit Group suggests you use Adobe Reader 7.0 or greater. Click Here to download Adobe Reader .
|
