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  • Home
  • Group Coverage
  • FreedomFlex
  • Individual Coverage
  • Tools & Resources
    • HRA Advantages
    • Self-Funding 101
    • Self Funding Vs Fully Insured
  • About Us
  • Access Accounts
  • Contact Us

Tools & Resources

Forms

FORMS: (Click on Form Title to Begin Download) 

FCMI Common Law Affidavit
FCMI Common Law Affidavit - Spanish
FCMI Health Statement
FCMI Health Statement - Spanish
FCMI Release of Information

Freedom Claims Management Inc.
PO Box 1365/52 NW 30th Rd
Great Bend, KS 67530

Phone: (866) 792-9151

Fax: (620) 792-3389

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