Skip to content
  Benefits Login
Beneliance
  • Employees
    • FSAs
    • HSAs
    • HRAs
    • COBRA
    • Captain Contributor
      • Explains FSAs
      • Explains HSAs
      • Explains HRAs
      • Explains DCAPs
      • Explains LSAs
      • Explains Transit Accounts
      • Explains Benefits Debit Cards
      • Explains COBRA Benefits
    • Shopping with Your HSA and FSA
    • FSA/HSA Eligible Expenses
  • Employers
    • FSA Administration Services
    • HSA Administration Services
    • HRA Administration Services
    • COBRA Administrative Services
    • Employee Education and Engagement Program
  • Brokers
    • FSA Administration Services
    • HSA Administration Services
    • HRA Administration Services
    • COBRA Administration Services
    • Employee Education and Engagement Program
  • Resources
    • Employer Materials
    • Employee Materials
    • Captain Contributor
  • Blog
  • About
  • Contact

COBRA Benefit Set Up Form

Download PDF
COBRA-Benefit-Set-up-Form_Beneliance_FINAL-1

Related

Understanding the HSA Withdrawal Penalty
Benefits Administrator Rebrands
Home ยป COBRA Benefit Set Up Form

Beneliance Blog

Subscribe to our Blog!

Enter your email address to subscribe and receive notifications of new stories, blogs, events, and press releases.

Beneliance

P.O. Box 55068
Little Rock, AR 72215
Phone: 501-687-6954
Toll-free: 877-685-0655
Fax: 855-445-1696
Contact us
  • https://www.facebook.com/datapathadmin/
  • https://www.linkedin.com/company/datapath-administrative-services/
  • X
  • YouTube
Connect with us:
© 2025 by Beneliance | Privacy Policy | Sitemap
PO Box 55068, Little Rock, AR 72215 | Ph 501-687-6954 | Fax 855-445-1696

Login to your Benefit Accounts

Beneliance Summit Login
myRSC Login ID:
myRSC Password:


Register for Online Account Access
Forgot Login ID or Password?
x