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WageWorks, Inc. fax number

(866) 450-5634

COBRA/Direct Billing administration

Used for: Submitting COBRA election forms and related notices, and handling direct billing communications; premium payments and related correspondence.

Fax destination details

Department
COBRA/Direct Billing administration
Purpose
Submitting COBRA election forms and related notices, and handling direct billing communications; premium payments and related correspondence.
Form
COBRA Election Form — COBRA Election Form (Form Number CLC02)
Address
PO Box 223684, Dallas, TX 75222-3684
Voice phone
1-866-747-0039

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Complete the COBRA Election Form and submit it to WageWorks, either by mail to PO Box 223684, Dallas, TX 75222-3684, by fax to 866-450-5634, or online at mybenefits.wageworks.com.

Official form instructions are published as a downloadable file on the organization's website.

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