{"id":221753,"date":"2021-04-06T12:29:45","date_gmt":"2021-04-06T19:29:45","guid":{"rendered":"http:\/\/www.carewellseiu503.org\/%d1%80%d0%b5%d1%81%d1%83%d1%80%d1%81%d1%8b\/%d1%84%d0%be%d1%80%d0%bc%d1%8b\/"},"modified":"2026-04-30T07:17:46","modified_gmt":"2026-04-30T14:17:46","slug":"forms","status":"publish","type":"page","link":"https:\/\/www.carewellseiu503.org\/ru\/resources\/forms\/","title":{"rendered":"\u0424\u043e\u0440\u043c\u044b \u0440\u0435\u0433\u0438\u0441\u0442\u0440\u0430\u0446\u0438\u0438 \u0438 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044f \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432"},"content":{"rendered":"<p>[et_pb_section fb_built=&#187;1&#8243; custom_padding_last_edited=&#187;on|phone&#187; _builder_version=&#187;4.16&#8243; background_color=&#187;#ffffff&#187; background_enable_image=&#187;off&#187; background_position=&#187;bottom_left&#187; min_height=&#187;350px&#187; min_height_tablet=&#187;100px&#187; min_height_phone=&#187;&#187; min_height_last_edited=&#187;on|phone&#187; custom_margin=&#187;||0px||false|false&#187; custom_padding=&#187;50px||0px||false|false&#187; custom_padding_tablet=&#187;&#187; custom_padding_phone=&#187;0px||||false|false&#187; bottom_divider_flip=&#187;vertical&#187; background_last_edited=&#187;on|phone&#187; use_background_color_gradient_phone=&#187;off&#187; background_enable_image_phone=&#187;off&#187; border_color_bottom=&#187;#ffa89f&#187; locked=&#187;off&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_row custom_padding_last_edited=&#187;on|phone&#187; _builder_version=&#187;4.16&#8243; custom_padding=&#187;100px||2px||false|false&#187; custom_padding_tablet=&#187;&#187; custom_padding_phone=&#187;&#187; global_colors_info=&#187;{}&#187;][et_pb_column type=&#187;4_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text module_class=&#187;addLine&#187; _builder_version=&#187;4.16&#8243; text_text_color_tablet=&#187;&#187; 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\u0443\u043f\u043e\u0440\u044f\u0434\u043e\u0447\u0435\u043d\u044b \u043f\u043e \u043a\u0430\u0442\u0435\u0433\u043e\u0440\u0438\u044f\u043c \u0438\u043b\u0438 \u043b\u044c\u0433\u043e\u0442\u0430\u043c. <\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#187;1&#8243; use_custom_gutter=&#187;on&#187; gutter_width=&#187;2&#8243; specialty=&#187;on&#187; custom_padding_last_edited=&#187;on|desktop&#187; module_class_1=&#187;stickyColumn&#187; module_class=&#187;stickyRow&#187; _builder_version=&#187;4.16&#8243; background_color=&#187;#f3f3f3&#8243; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;0px||||false|false&#187; custom_padding_tablet=&#187;15px||||false|false&#187; custom_padding_phone=&#187;&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;][et_pb_column type=&#187;1_4&#8243; _builder_version=&#187;4.16&#8243; custom_padding=&#187;|||&#187; global_colors_info=&#187;{}&#187; 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header_text_color__hover_enabled=&#187;on|desktop&#187; header_text_color__hover=&#187;#A45CFF&#187; header_5_text_color__hover=&#187;#A45CFF&#187;]<\/p>\n<h5>\u0421\u0442\u043e\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043b\u044c\u0433\u043e\u0442\u044b<\/h5>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#187;4.16&#8243; _module_preset=&#187;default&#187; header_text_color=&#187;#582C82&#8243; header_5_text_color=&#187;#582C82&#8243; background_color=&#187;#FFFFFF&#187; custom_margin=&#187;10px||10px||true|false&#187; custom_padding=&#187;6px|10px|0px|10px|false|true&#187; link_option_url=&#187;#visionhearinganchor&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187; text_text_color__hover_enabled=&#187;on|hover&#187; text_text_color__hover=&#187;#582C82&#8243; header_5_text_color__hover_enabled=&#187;on|hover&#187; header_text_color__hover_enabled=&#187;on|desktop&#187; header_text_color__hover=&#187;#A45CFF&#187; 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header_5_text_color__hover=&#187;#A45CFF&#187;]<\/p>\n<h5>\u041f\u0440\u043e\u0433\u0440\u0430\u043c\u043c\u0430 \u043f\u043e\u043c\u043e\u0449\u0438 \u0441\u043e\u0442\u0440\u0443\u0434\u043d\u0438\u043a\u0430\u043c<\/h5>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#187;on|on|on&#187; _builder_version=&#187;4.16&#8243; _module_preset=&#187;default&#187; header_text_color=&#187;#582C82&#8243; header_5_text_color=&#187;#582C82&#8243; background_color=&#187;#FFFFFF&#187; custom_margin=&#187;10px||10px||true|false&#187; custom_padding=&#187;6px|10px|0px|10px|false|true&#187; link_option_url=&#187;#hcaanchor&#187; disabled=&#187;on&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187; text_text_color__hover_enabled=&#187;on|hover&#187; text_text_color__hover=&#187;#582C82&#8243; header_5_text_color__hover_enabled=&#187;on|hover&#187; header_text_color__hover_enabled=&#187;on|desktop&#187; header_text_color__hover=&#187;#A45CFF&#187; header_5_text_color__hover=&#187;#A45CFF&#187;]<\/p>\n<h5>Healthcare Cost Assistance (\u041a\u043e\u043c\u043f\u0435\u043d\u0441\u0430\u0446\u0438\u044f \u043e\u043f\u043b\u0430\u0442\u044b \u0443\u0441\u043b\u0443\u0433 \u0437\u0434\u0440\u0430\u0432\u043e\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u044f)<\/h5>\n<p><a href=\"#hcaanchor\">\u0414\u043b\u044f \u043e\u0434\u043e\u0431\u0440\u0435\u043d\u043d\u044b\u0445 \u043f\u043b\u0430\u043d\u043e\u0432<\/a><br \/><a href=\"#hcamedicareanchor\">\u0414\u043b\u044f Medicare<\/a><\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.27.6&#8243; _module_preset=&#187;default&#187; header_text_color=&#187;#582C82&#8243; header_5_text_color=&#187;#582C82&#8243; background_color=&#187;#FFFFFF&#187; custom_margin=&#187;10px||10px||true|false&#187; custom_padding=&#187;6px|10px|0px|10px|false|true&#187; link_option_url=&#187;#hcaanchor&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187; text_text_color__hover_enabled=&#187;on|hover&#187; text_text_color__hover=&#187;#582C82&#8243; header_5_text_color__hover_enabled=&#187;on|hover&#187; header_text_color__hover_enabled=&#187;on|desktop&#187; header_text_color__hover=&#187;#A45CFF&#187; header_5_text_color__hover=&#187;#A45CFF&#187;]<\/p>\n<h5>Healthcare Cost Assistance (\u041a\u043e\u043c\u043f\u0435\u043d\u0441\u0430\u0446\u0438\u044f \u043e\u043f\u043b\u0430\u0442\u044b \u0443\u0441\u043b\u0443\u0433 \u0437\u0434\u0440\u0430\u0432\u043e\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u044f)<\/h5>\n<p><a href=\"#hcaanchor\">\u0414\u043b\u044f Marketplace<\/a><br \/>\n<a href=\"#hcamedicareanchor\">\u0414\u043b\u044f Medicare<\/a><br \/>\n<a href=\"#hcamilitaryanchor\">\u0414\u043b\u044f \u043b\u044c\u0433\u043e\u0442, \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u044b\u0445 \u0441 \u0432\u043e\u0435\u043d\u043d\u043e\u0439 \u0441\u043b\u0443\u0436\u0431\u043e\u0439<\/a>[\/et_pb_text][et_pb_text _builder_version=&#187;4.16&#8243; _module_preset=&#187;default&#187; header_text_color=&#187;#582C82&#8243; header_5_text_color=&#187;#582C82&#8243; background_color=&#187;#FFFFFF&#187; custom_margin=&#187;10px||10px||true|false&#187; custom_padding=&#187;6px|10px|0px|10px|false|true&#187; link_option_url=&#187;#ptoanchor&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187; text_text_color__hover_enabled=&#187;on|hover&#187; text_text_color__hover=&#187;#582C82&#8243; header_5_text_color__hover_enabled=&#187;on|hover&#187; header_text_color__hover_enabled=&#187;on|desktop&#187; header_text_color__hover=&#187;#A45CFF&#187; header_5_text_color__hover=&#187;#A45CFF&#187;]<\/p>\n<h5>\u041e\u043f\u043b\u0430\u0447\u0438\u0432\u0430\u0435\u043c\u044b\u0435 \u043e\u0442\u0433\u0443\u043b\u044b<\/h5>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#187;3_4&#8243; specialty_columns=&#187;3&#8243; _builder_version=&#187;4.16&#8243; custom_padding=&#187;|||&#187; global_colors_info=&#187;{}&#187; custom_padding__hover=&#187;|||&#187;][et_pb_row_inner module_id=&#187;updateinfo&#187; _builder_version=&#187;4.16&#8243; custom_margin=&#187;40px||||false|false&#187; custom_padding=&#187;0px||0px||false|false&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text disabled_on=&#187;on|on|on&#187; module_id=&#187;updateyourinfo&#187; _builder_version=&#187;4.16&#8243; min_height=&#187;35px&#187; disabled=&#187;on&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h3>\u0412\u0430\u0436\u043d\u043e: \u043f\u043e\u0434\u0434\u0435\u0440\u0436\u0438\u0432\u0430\u0439\u0442\u0435 \u0430\u043a\u0442\u0443\u0430\u043b\u044c\u043d\u043e\u0441\u0442\u044c \u0441\u0432\u043e\u0435\u0439 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custom_margin=&#187;|0px||0px|false|true&#187; custom_padding=&#187;1px||2px||false|false&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text disabled_on=&#187;on|on|on&#187; _builder_version=&#187;4.23.1&#8243; disabled=&#187;on&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<p>\u0427\u0442\u043e\u0431\u044b Carewell SEIU 503 \u043f\u0440\u0435\u0434\u043e\u0441\u0442\u0430\u0432\u0438\u043b \u0432\u0430\u043c \u043b\u044c\u0433\u043e\u0442\u044b Carewell Benefits, \u0435\u043c\u0443 \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u044b \u0430\u043a\u0442\u0443\u0430\u043b\u044c\u043d\u044b\u0435 \u0441\u0432\u0435\u0434\u0435\u043d\u0438\u044f \u043e \u0432\u0430\u0441, \u0430 \u0438\u043c\u0435\u043d\u043d\u043e: \u0438\u043c\u044f, \u043f\u043e\u043b, \u043d\u043e\u043c\u0435\u0440 \u0441\u043e\u0446\u0438\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u0430\u043d\u0438\u044f, \u0434\u0430\u0442\u0430 \u0440\u043e\u0436\u0434\u0435\u043d\u0438\u044f \u0438 \u0442\u0435\u043a\u0443\u0449\u0438\u0439 \u0430\u0434\u0440\u0435\u0441. \u0412\u0430\u043c \u0442\u0430\u043a\u0436\u0435 \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u043e \u043f\u043e\u0434\u0434\u0435\u0440\u0436\u0438\u0432\u0430\u0442\u044c \u0430\u043a\u0442\u0443\u0430\u043b\u044c\u043d\u043e\u0441\u0442\u044c \u044d\u0442\u043e\u0439 \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u0438 \u0432 \u0440\u0435\u0435\u0441\u0442\u0440\u0435 \u0448\u0442\u0430\u0442\u0430. \u041f\u0440\u0438\u043c\u0435\u0447\u0430\u043d\u0438\u0435. \u041f\u043e\u0441\u043b\u0435 \u043f\u043e\u043b\u0443\u0447\u0435\u043d\u0438\u044f \u044d\u0442\u043e\u0439 \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u0438 Carewell SEIU 503 \u043f\u0440\u0435\u0434\u043e\u0441\u0442\u0430\u0432\u0438\u0442 \u0432\u0430\u043c \u0441\u0442\u043e\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435, \u043e\u0444\u0442\u0430\u043b\u044c\u043c\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0438 \u0441\u0443\u0440\u0434\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043b\u044c\u0433\u043e\u0442\u044b Carewell SEIU 503 Benefits, \u0430 \u0442\u0430\u043a\u0436\u0435 \u043b\u044c\u0433\u043e\u0442\u044b \u043f\u043e \u043f\u0440\u043e\u0433\u0440\u0430\u043c\u043c\u0435 \u043f\u043e\u043c\u043e\u0449\u0438 \u0441\u043e\u0442\u0440\u0443\u0434\u043d\u0438\u043a\u0430\u043c, \u0435\u0441\u043b\u0438 \u0443 \u0432\u0430\u0441 \u0435\u0441\u0442\u044c \u0442\u0430\u043a\u043e\u0435 \u043f\u0440\u0430\u0432\u043e.<\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li><strong>\u041e\u0442\u043f\u0440\u0430\u0432\u044c\u0442\u0435 \u0444\u043e\u0440\u043c\u0443 \u0432\u044b\u0448\u0435<\/strong>, \u0447\u0442\u043e\u0431\u044b \u043e\u0431\u043d\u043e\u0432\u0438\u0442\u044c \u0441\u0432\u043e\u044e \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044e \u0432 Carewell SEIU 503.<\/li>\n<li><strong>\u0421\u043b\u0435\u0434\u0443\u0439\u0442\u0435 \u0438\u043d\u0441\u0442\u0440\u0443\u043a\u0446\u0438\u044f\u043c \u043d\u0438\u0436\u0435<\/strong>, \u0447\u0442\u043e\u0431\u044b \u043e\u0431\u043d\u043e\u0432\u0438\u0442\u044c \u0432\u0430\u0448\u0443 \u043f\u0435\u0440\u0441\u043e\u043d\u0430\u043b\u044c\u043d\u0443\u044e \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044e \u0432 \u0440\u0435\u0435\u0441\u0442\u0440\u0435 \u0448\u0442\u0430\u0442\u0430 \u0432 \u0437\u0430\u0432\u0438\u0441\u0438\u043c\u043e\u0441\u0442\u0438 \u043e\u0442 \u0432\u0430\u0448\u0435\u0439 \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u044c\u043d\u043e\u0441\u0442\u0438.<\/li>\n<\/ol>\n<p>[\/et_pb_text][et_pb_code disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.23.1&#8243; _module_preset=&#187;default&#187; background_color=&#187;#582C82&#8243; text_orientation=&#187;left&#187; global_colors_info=&#187;{}&#187;][et_pb_section global_module=\"274291\"][\/et_pb_section][\/et_pb_code][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner column_structure=&#187;1_3,1_3,1_3&#8243; use_custom_gutter=&#187;on&#187; gutter_width=&#187;2&#8243; make_equal=&#187;on&#187; module_class=&#187;noAnimation&#187; _builder_version=&#187;4.16&#8243; custom_margin=&#187;|0px||0px|false|true&#187; custom_padding=&#187;1px||3px||false|false&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner type=&#187;1_3&#8243; saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<p><span style=\"color: var(--main-color); font-family: univia-pro, 'Exo 2', sans-serif; font-size: 18px; font-weight: bold; letter-spacing: 0.7px;\">\u0420\u0430\u0431\u043e\u0442\u043d\u0438\u043a \u043f\u043e \u0443\u0445\u043e\u0434\u0443 \u043d\u0430 \u0434\u043e\u043c\u0443 (HCW)<\/span><\/p>\n<p>\u041e\u0431\u043d\u043e\u0432\u0438\u0442\u0435 \u0441\u0432\u043e\u0439 \u0430\u0434\u0440\u0435\u0441 \u0432 \u043c\u0435\u0441\u0442\u043d\u043e\u043c \u043e\u0442\u0434\u0435\u043b\u0435\u043d\u0438\u0438 APD\/AAA. \u0414\u043b\u044f \u044d\u0442\u043e\u0433\u043e \u043e\u0431\u0440\u0430\u0442\u0438\u0442\u0435\u0441\u044c \u043a \u043c\u0435\u0441\u0442\u043d\u043e\u043c\u0443 \u043a\u043e\u043e\u0440\u0434\u0438\u043d\u0430\u0442\u043e\u0440\u0443\u00a0\/ \u0441\u043b\u0443\u0436\u0430\u0449\u0435\u043c\u0443 \u043f\u043e \u0440\u0430\u0431\u043e\u0442\u0435 \u0441 HCW.<\/p>\n<ul><\/ul>\n<p>[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=&#187;1_3&#8243; saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text _builder_version=&#187;4.21.0&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<p><span style=\"color: var(--main-color); font-family: univia-pro, 'Exo 2', sans-serif; font-size: 18px; font-weight: bold; letter-spacing: 0.7px;\">\u0420\u0430\u0431\u043e\u0442\u043d\u0438\u043a ODDS, \u043e\u043a\u0430\u0437\u044b\u0432\u0430\u044e\u0449\u0438\u0439 \u043f\u0435\u0440\u0441\u043e\u043d\u0430\u043b\u044c\u043d\u0443\u044e \u043f\u043e\u043c\u043e\u0449\u044c (PSW)<\/span><\/p>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443 <a href=\"https:\/\/www.carewellseiu503.org\/wp-content\/uploads\/PSW-change-of-information-form.pdf\" target=\"_blank\" rel=\"noopener\">Change of Information (\u0418\u0437\u043c\u0435\u043d\u0435\u043d\u0438\u0435 \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u0438)<\/a>, PDF, \u0447\u0442\u043e\u0431\u044b \u0432 DHS \u0431\u044b\u043b\u0438 \u0437\u0430\u0440\u0435\u0433\u0438\u0441\u0442\u0440\u0438\u0440\u043e\u0432\u0430\u043d\u044b \u0441\u0430\u043c\u044b\u0435 \u043f\u043e\u0441\u043b\u0435\u0434\u043d\u0438\u0435 \u0434\u0430\u043d\u043d\u044b\u0435 \u043e \u0432\u0430\u0441.<\/p>\n<ul><\/ul>\n<p>[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=&#187;1_3&#8243; saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<p><span style=\"color: var(--main-color); font-family: univia-pro, 'Exo 2', sans-serif; font-size: 18px; font-weight: bold; letter-spacing: 0.7px;\">\u0420\u0430\u0431\u043e\u0442\u043d\u0438\u043a OHA, \u043e\u043a\u0430\u0437\u044b\u0432\u0430\u044e\u0449\u0438\u0439 \u043f\u0435\u0440\u0441\u043e\u043d\u0430\u043b\u044c\u043d\u0443\u044e \u043f\u043e\u043c\u043e\u0449\u044c (PSW)<\/span><\/p>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443 <a href=\"https:\/\/www.carewellseiu503.org\/wp-content\/uploads\/he3035.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Provider Information Update Form (\u0424\u043e\u0440\u043c\u0430 \u043e\u0431\u043d\u043e\u0432\u043b\u0435\u043d\u0438\u044f \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u0438 \u043e \u043f\u043e\u0441\u0442\u0430\u0432\u0449\u0438\u043a\u0435), PDF<\/a>, \u0447\u0442\u043e\u0431\u044b \u0432 OHA \u0431\u044b\u043b\u0438 \u0441\u0430\u043c\u044b\u0435 \u043f\u043e\u0441\u043b\u0435\u0434\u043d\u0438\u0435 \u0434\u0430\u043d\u043d\u044b\u0435 \u043e \u0432\u0430\u0441. \u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u0432\u0441\u0435 \u0440\u0430\u0437\u0434\u0435\u043b\u044b \u0444\u043e\u0440\u043c\u044b, \u043a\u0440\u043e\u043c\u0435 \u0441\u043b\u0435\u0434\u0443\u044e\u0449\u0438\u0445:<\/p>\n<ul>\n<li>Complete this section for an organization, group or agency (\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u043e\u0442 \u0440\u0430\u0437\u0434\u0435\u043b \u0434\u043b\u044f \u043e\u0440\u0433\u0430\u043d\u0438\u0437\u0430\u0446\u0438\u0438, \u0433\u0440\u0443\u043f\u043f\u044b \u0438\u043b\u0438 \u0430\u0433\u0435\u043d\u0442\u0441\u0442\u0432\u0430)<\/li>\n<li>Taxonomy code changes (\u0418\u0437\u043c\u0435\u043d\u0435\u043d\u0438\u044f \u043a\u043e\u0434\u0430 \u043a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u0438)<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner module_id=&#187;dentalanchor&#187; _builder_version=&#187;4.16&#8243; custom_padding=&#187;3px||2px|||&#187; locked=&#187;off&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text module_id=&#187;dentalanchor&#187; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h2>\u0421\u0442\u043e\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043b\u044c\u0433\u043e\u0442\u044b<\/h2>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner use_custom_gutter=&#187;on&#187; gutter_width=&#187;1&#8243; custom_padding_last_edited=&#187;on|phone&#187; disabled_on=&#187;off|off|off&#187; module_class=&#187;twoColumns&#187; _builder_version=&#187;4.16&#8243; background_enable_color=&#187;off&#187; custom_margin=&#187;0px||25px||false|true&#187; custom_padding=&#187;0px|0px|0px|0px|false|true&#187; custom_padding_tablet=&#187;&#187; custom_padding_phone=&#187;0px|0px|0px|0px|false|true&#187; border_radii=&#187;on|0px|0px|0px|0px&#187; locked=&#187;off&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; background_enable_color=&#187;off&#187; global_colors_info=&#187;{}&#187;][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.23.1&#8243; background_color=&#187;#FFFFFF&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Benefits Waiver Form (\u0424\u043e\u0440\u043c\u0430 \u043e\u0442\u043a\u0430\u0437\u0430 \u043e\u0442 \u043b\u044c\u0433\u043e\u0442)<\/h5>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0434\u0438\u0442\u044c: \u0432\u0430\u043c \u043f\u0440\u0435\u0434\u043b\u0430\u0433\u0430\u044e\u0442\u0441\u044f \u0441\u0442\u043e\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435, \u043e\u0444\u0442\u0430\u043b\u044c\u043c\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0438 \u0441\u0443\u0440\u0434\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043b\u044c\u0433\u043e\u0442\u044b, \u0430 \u0442\u0430\u043a\u0436\u0435 \u043b\u044c\u0433\u043e\u0442\u044b \u043f\u043e \u043f\u0440\u043e\u0433\u0440\u0430\u043c\u043c\u0435 \u043f\u043e\u043c\u043e\u0449\u0438 \u0441\u043e\u0442\u0440\u0443\u0434\u043d\u0438\u043a\u0430\u043c (EAP) \u043e\u0442 Carewell SEIU 503, <u>\u043d\u043e \u0432\u044b \u043e\u0442\u043a\u0430\u0437\u044b\u0432\u0430\u0435\u0442\u0435\u0441\u044c \u043e\u0442 \u044d\u0442\u0438\u0445 \u043b\u044c\u0433\u043e\u0442.<\/u><br \/>[et_pb_section global_module=\"274298\"][\/et_pb_section]<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#187;4.27.4&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Eligibility and Reimbursement Appeal Form (\u0424\u043e\u0440\u043c\u0430 \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438 \u043f\u043e \u0432\u043e\u043f\u0440\u043e\u0441\u0430\u043c \u043f\u0440\u0430\u0432\u043e\u043c\u043e\u0447\u043d\u043e\u0441\u0442\u0438 \u0438 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044f \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432)<\/h5>\n<p>\u0418\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0439\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443 \u0438 \u043b\u0438\u0431\u043e \u0437\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u043f\u043e\u043b\u0435, \u043e\u0431\u044a\u044f\u0441\u043d\u044f\u044e\u0449\u0435\u0435 \u043f\u0440\u0438\u0447\u0438\u043d\u0443 \u043f\u043e\u0434\u0430\u0447\u0438 \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438, \u043b\u0438\u0431\u043e \u0437\u0430\u0433\u0440\u0443\u0437\u0438\u0442\u0435 \u043f\u0438\u0441\u044c\u043c\u043e \u0441 \u043e\u0431\u044a\u044f\u0441\u043d\u0435\u043d\u0438\u044f\u043c\u0438. \u041a \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438 \u043f\u043e \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044e \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432 \u0441\u043b\u0435\u0434\u0443\u0435\u0442 \u043f\u0440\u0438\u043b\u043e\u0436\u0438\u0442\u044c \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u044e\u0449\u0443\u044e \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u0430\u0446\u0438\u044e, \u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, Explanation of Benefits (\u0420\u0430\u0441\u0448\u0438\u0444\u0440\u043e\u0432\u043a\u0443 \u043b\u044c\u0433\u043e\u0442, EOB) \u0438\u043b\u0438 \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0435\u043d\u0438\u0435 \u043e\u043f\u043b\u0430\u0442\u044b.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/212296895694070?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"><i class=\"fas fa-align-left\"><\/i><span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner module_id=&#187;visionanchor&#187; _builder_version=&#187;4.16&#8243; custom_padding=&#187;3px||2px|||&#187; locked=&#187;off&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text module_id=&#187;visionhearinganchor&#187; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h2>\u041e\u0444\u0442\u0430\u043b\u044c\u043c\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0438 \u0441\u0443\u0440\u0434\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043b\u044c\u0433\u043e\u0442\u044b<\/h2>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner use_custom_gutter=&#187;on&#187; gutter_width=&#187;1&#8243; _builder_version=&#187;4.16&#8243; custom_margin=&#187;||0px||false|false&#187; custom_padding=&#187;0px||0px||false|false&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text _builder_version=&#187;4.27.4&#8243; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Ameritas Vision (LASIK only) Reimbursement Claim Form (\u0424\u043e\u0440\u043c\u0430 \u0437\u0430\u043f\u0440\u043e\u0441\u0430 \u043d\u0430 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432 Ameritas Vision \u2014 \u0442\u043e\u043b\u044c\u043a\u043e LASIK)<\/h5>\n<p><a href=\"https:\/\/www.carewellseiu503.org\/wp-content\/uploads\/Lasik-claims-form.pdf\" class=\"noUnderline\" target=\"_blank\" rel=\"noopener\"> <i class=\"fas fa-file-pdf\"><\/i> <span style=\"text-decoration: underline;\">\u0424\u043e\u0440\u043c\u0430 \u0432 \u0432\u0438\u0434\u0435 \u0444\u0430\u0439\u043b\u0430 PDF<\/span><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#187;4.27.4&#8243; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Ameritas Hearing Reimbursement Claim Form (\u0424\u043e\u0440\u043c\u0430 \u0437\u0430\u043f\u0440\u043e\u0441\u0430 \u043d\u0430 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432 \u043d\u0430 \u0441\u0443\u0440\u0434\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0443\u0441\u043b\u0443\u0433\u0438 Ameritas)<\/h5>\n<p><a class=\"noUnderline\" href=\"https:\/\/www.carewellseiu503.org\/wp-content\/uploads\/soundcare-claims-form.pdf\" target=\"_blank\" rel=\"noopener\"> <i class=\"fas fa-file-pdf\"><\/i> <span style=\"text-decoration: underline;\">\u0424\u043e\u0440\u043c\u0430 \u0432 \u0432\u0438\u0434\u0435 \u0444\u0430\u0439\u043b\u0430 PDF<\/span><\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner use_custom_gutter=&#187;on&#187; gutter_width=&#187;1&#8243; _builder_version=&#187;4.16&#8243; custom_margin=&#187;0px||25px||false|false&#187; custom_padding=&#187;0px||0px||false|false&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.23.1&#8243; background_color=&#187;#FFFFFF&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Benefits Waiver Form (\u0424\u043e\u0440\u043c\u0430 \u043e\u0442\u043a\u0430\u0437\u0430 \u043e\u0442 \u043b\u044c\u0433\u043e\u0442)<\/h5>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0434\u0438\u0442\u044c: \u0432\u0430\u043c \u043f\u0440\u0435\u0434\u043b\u0430\u0433\u0430\u044e\u0442\u0441\u044f \u0441\u0442\u043e\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435, \u043e\u0444\u0442\u0430\u043b\u044c\u043c\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0438 \u0441\u0443\u0440\u0434\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043b\u044c\u0433\u043e\u0442\u044b, \u0430 \u0442\u0430\u043a\u0436\u0435 \u043b\u044c\u0433\u043e\u0442\u044b \u043f\u043e \u043f\u0440\u043e\u0433\u0440\u0430\u043c\u043c\u0435 \u043f\u043e\u043c\u043e\u0449\u0438 \u0441\u043e\u0442\u0440\u0443\u0434\u043d\u0438\u043a\u0430\u043c (EAP) \u043e\u0442 Carewell SEIU 503, <u>\u043d\u043e \u0432\u044b \u043e\u0442\u043a\u0430\u0437\u044b\u0432\u0430\u0435\u0442\u0435\u0441\u044c \u043e\u0442 \u044d\u0442\u0438\u0445 \u043b\u044c\u0433\u043e\u0442.<\/u><br \/>[et_pb_section global_module=\"274298\"][\/et_pb_section]<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#187;4.27.4&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Eligibility and Reimbursement Appeal Form (\u0424\u043e\u0440\u043c\u0430 \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438 \u043f\u043e \u0432\u043e\u043f\u0440\u043e\u0441\u0430\u043c \u043f\u0440\u0430\u0432\u043e\u043c\u043e\u0447\u043d\u043e\u0441\u0442\u0438 \u0438 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044f \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432)<\/h5>\n<p>\u0418\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0439\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443 \u0438 \u043b\u0438\u0431\u043e \u0437\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u043f\u043e\u043b\u0435, \u043e\u0431\u044a\u044f\u0441\u043d\u044f\u044e\u0449\u0435\u0435 \u043f\u0440\u0438\u0447\u0438\u043d\u0443 \u043f\u043e\u0434\u0430\u0447\u0438 \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438, \u043b\u0438\u0431\u043e \u0437\u0430\u0433\u0440\u0443\u0437\u0438\u0442\u0435 \u043f\u0438\u0441\u044c\u043c\u043e \u0441 \u043e\u0431\u044a\u044f\u0441\u043d\u0435\u043d\u0438\u044f\u043c\u0438. \u041a \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438 \u043f\u043e \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044e \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432 \u0441\u043b\u0435\u0434\u0443\u0435\u0442 \u043f\u0440\u0438\u043b\u043e\u0436\u0438\u0442\u044c \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u044e\u0449\u0443\u044e \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u0430\u0446\u0438\u044e, \u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, Explanation of Benefits (\u0420\u0430\u0441\u0448\u0438\u0444\u0440\u043e\u0432\u043a\u0443 \u043b\u044c\u0433\u043e\u0442, EOB) \u0438\u043b\u0438 \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0435\u043d\u0438\u0435 \u043e\u043f\u043b\u0430\u0442\u044b.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/212296895694070?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"><i class=\"fas fa-align-left\"><\/i><span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#187;4.21.0&#8243; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">VSP Member Reimbursement Form (\u0424\u043e\u0440\u043c\u0430 \u0437\u0430\u043f\u0440\u043e\u0441\u0430 \u043d\u0430 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432 \u0443\u0447\u0430\u0441\u0442\u043d\u0438\u043a\u0430 VSP)<\/h5>\n<p><span style=\"font-weight: 400;\">\u041e\u0442\u043f\u0440\u0430\u0432\u044c\u0442\u0435 \u0437\u0430\u043f\u0440\u043e\u0441 \u043d\u0430 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u043e\u043d\u043b\u0430\u0439\u043d \u043d\u0430 \u043f\u043e\u0440\u0442\u0430\u043b\u0435 VSP <a href=\"https:\/\/www.vsp.com\/\">vsp.com.<\/a> \u0421\u043d\u0430\u0447\u0430\u043b\u0430 \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u043e \u0441\u043e\u0437\u0434\u0430\u0442\u044c \u0443\u0447\u0435\u0442\u043d\u0443\u044e \u0437\u0430\u043f\u0438\u0441\u044c. \u041f\u043e \u0432\u0441\u0435\u043c \u0432\u043e\u043f\u0440\u043e\u0441\u0430\u043c \u043e\u0431\u0440\u0430\u0449\u0430\u0439\u0442\u0435\u0441\u044c \u0432 VSP \u043f\u043e \u043d\u043e\u043c\u0435\u0440\u0443 1-800-877-7195.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner module_id=&#187;eapanchor&#187; _builder_version=&#187;4.16&#8243; custom_padding=&#187;3px||2px|||&#187; locked=&#187;off&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text module_id=&#187;eapanchor&#187; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h2>\u041f\u0440\u043e\u0433\u0440\u0430\u043c\u043c\u0430 \u043f\u043e\u043c\u043e\u0449\u0438 \u0441\u043e\u0442\u0440\u0443\u0434\u043d\u0438\u043a\u0430\u043c<\/h2>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner use_custom_gutter=&#187;on&#187; gutter_width=&#187;1&#8243; custom_padding_last_edited=&#187;on|phone&#187; disabled_on=&#187;off|off|off&#187; module_class=&#187;twoColumns&#187; _builder_version=&#187;4.16&#8243; background_enable_color=&#187;off&#187; custom_margin=&#187;0px||25px||false|true&#187; custom_padding=&#187;0px|0px|0px|0px|false|true&#187; custom_padding_tablet=&#187;&#187; custom_padding_phone=&#187;0px|0px|0px|0px|false|true&#187; border_radii=&#187;on|0px|0px|0px|0px&#187; locked=&#187;off&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; background_enable_color=&#187;off&#187; global_colors_info=&#187;{}&#187;][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.23.1&#8243; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Benefits Waiver Form (\u0424\u043e\u0440\u043c\u0430 \u043e\u0442\u043a\u0430\u0437\u0430 \u043e\u0442 \u043b\u044c\u0433\u043e\u0442)<\/h5>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0434\u0438\u0442\u044c: \u0432\u0430\u043c \u043f\u0440\u0435\u0434\u043b\u0430\u0433\u0430\u044e\u0442\u0441\u044f \u0441\u0442\u043e\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435, \u043e\u0444\u0442\u0430\u043b\u044c\u043c\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0438 \u0441\u0443\u0440\u0434\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043b\u044c\u0433\u043e\u0442\u044b, \u0430 \u0442\u0430\u043a\u0436\u0435 \u043b\u044c\u0433\u043e\u0442\u044b \u043f\u043e \u043f\u0440\u043e\u0433\u0440\u0430\u043c\u043c\u0435 \u043f\u043e\u043c\u043e\u0449\u0438 \u0441\u043e\u0442\u0440\u0443\u0434\u043d\u0438\u043a\u0430\u043c (EAP) \u043e\u0442 Carewell SEIU 503, <u>\u043d\u043e \u0432\u044b \u043e\u0442\u043a\u0430\u0437\u044b\u0432\u0430\u0435\u0442\u0435\u0441\u044c \u043e\u0442 \u044d\u0442\u0438\u0445 \u043b\u044c\u0433\u043e\u0442.<\/u><br \/>\n[et_pb_section global_module=\"274298\"][\/et_pb_section][\/et_pb_text][et_pb_text _builder_version=&#187;4.27.4&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Eligibility and Reimbursement Appeal Form (\u0424\u043e\u0440\u043c\u0430 \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438 \u043f\u043e \u0432\u043e\u043f\u0440\u043e\u0441\u0430\u043c \u043f\u0440\u0430\u0432\u043e\u043c\u043e\u0447\u043d\u043e\u0441\u0442\u0438 \u0438 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044f \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432)<\/h5>\n<p>\u0418\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0439\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443 \u0438 \u043b\u0438\u0431\u043e \u0437\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u043f\u043e\u043b\u0435, \u043e\u0431\u044a\u044f\u0441\u043d\u044f\u044e\u0449\u0435\u0435 \u043f\u0440\u0438\u0447\u0438\u043d\u0443 \u043f\u043e\u0434\u0430\u0447\u0438 \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438, \u043b\u0438\u0431\u043e \u0437\u0430\u0433\u0440\u0443\u0437\u0438\u0442\u0435 \u043f\u0438\u0441\u044c\u043c\u043e \u0441 \u043e\u0431\u044a\u044f\u0441\u043d\u0435\u043d\u0438\u044f\u043c\u0438. \u041a \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438 \u043f\u043e \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044e \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432 \u0441\u043b\u0435\u0434\u0443\u0435\u0442 \u043f\u0440\u0438\u043b\u043e\u0436\u0438\u0442\u044c \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u044e\u0449\u0443\u044e \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u0430\u0446\u0438\u044e, \u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, Explanation of Benefits (\u0420\u0430\u0441\u0448\u0438\u0444\u0440\u043e\u0432\u043a\u0443 \u043b\u044c\u0433\u043e\u0442, EOB) \u0438\u043b\u0438 \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0435\u043d\u0438\u0435 \u043e\u043f\u043b\u0430\u0442\u044b.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/212296895694070?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"><i class=\"fas fa-align-left\"><\/i><span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner module_id=&#187;hcaanchor&#187; _builder_version=&#187;4.16&#8243; custom_padding=&#187;3px||2px|||&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text module_id=&#187;hcaapanchor&#187; _builder_version=&#187;4.27.6&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h2>Healthcare Cost Assistance (\u041a\u043e\u043c\u043f\u0435\u043d\u0441\u0430\u0446\u0438\u044f \u043e\u043f\u043b\u0430\u0442\u044b \u0443\u0441\u043b\u0443\u0433 \u0437\u0434\u0440\u0430\u0432\u043e\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u044f)<\/h2>\n<h3>\u0414\u043b\u044f Marketplace<\/h3>\n<h5>\u041e\u0434\u043e\u0431\u0440\u0435\u043d\u043d\u044b\u0435 Carewell \u043f\u043b\u0430\u043d\u044b<\/h5>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner use_custom_gutter=&#187;on&#187; gutter_width=&#187;1&#8243; _builder_version=&#187;4.16&#8243; custom_margin=&#187;0px||0px||false|false&#187; custom_padding=&#187;0px||0px||true|false&#187; collapsed=&#187;off&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.27.4&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">2026 Annual Paperwork (\u0415\u0436\u0435\u0433\u043e\u0434\u043d\u044b\u0435 \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u044b \u043d\u0430 2026\u00a0\u0433\u043e\u0434)<\/h5>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u044f\u044f Annual Paperwork (\u0415\u0436\u0435\u0433\u043e\u0434\u043d\u044b\u0435 \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u044b), \u0432\u044b \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u0435\u0442\u0435, \u0447\u0442\u043e \u043f\u043e\u043d\u0438\u043c\u0430\u0435\u0442\u0435 \u043f\u0440\u0430\u0432\u0438\u043b\u0430 \u043f\u0440\u043e\u0433\u0440\u0430\u043c\u043c\u044b, \u0440\u0435\u0433\u0443\u043b\u0438\u0440\u0443\u0435\u043c\u044b\u0435 \u043f\u0440\u0430\u0432\u0438\u043b\u0430\u043c\u0438 \u0444\u043e\u043d\u0434\u0430, \u0438 \u0441\u043e\u0433\u043b\u0430\u0448\u0430\u0435\u0442\u0435\u0441\u044c \u0441 \u043d\u0438\u043c\u0438. \u042d\u0442\u0438 \u0444\u043e\u0440\u043c\u044b \u0442\u0430\u043a\u0436\u0435 \u0440\u0430\u0437\u0440\u0435\u0448\u0430\u044e\u0442 \u0433\u0440\u0443\u043f\u043f\u0435 \u043f\u043e \u043b\u044c\u0433\u043e\u0442\u0430\u043c Carewell SEIU 503 \u043e\u043a\u0430\u0437\u044b\u0432\u0430\u0442\u044c \u0432\u0430\u043c \u0441\u043e\u0434\u0435\u0439\u0441\u0442\u0432\u0438\u0435 \u0432 \u0440\u0435\u0433\u0438\u0441\u0442\u0440\u0430\u0446\u0438\u0438 \u0438 \u0441\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u0438 \u0432\u0430\u0448\u0435\u0433\u043e \u043f\u043e\u043a\u0440\u044b\u0442\u0438\u044f \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u043e\u0439 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u043a\u0438. <strong>\u042d\u0442\u0438 \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u044b \u043d\u0435 \u044f\u0432\u043b\u044f\u044e\u0442\u0441\u044f \u0437\u0430\u044f\u0432\u043b\u0435\u043d\u0438\u0435\u043c \u043d\u0430 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0443\u044e \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u043a\u0443.<\/strong><\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/251466827408969?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"><i class=\"fas fa-align-left\"><\/i>\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/a><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#187;4.27.6&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5><strong>Marketplace Healthcare Cost Assistance Benefits Request Form (\u0424\u043e\u0440\u043c\u0430 \u0437\u0430\u043f\u0440\u043e\u0441\u0430 \u043b\u044c\u0433\u043e\u0442 Healthcare Cost Assistance (\u041a\u043e\u043c\u043f\u0435\u043d\u0441\u0430\u0446\u0438\u044f \u043e\u043f\u043b\u0430\u0442\u044b \u0443\u0441\u043b\u0443\u0433 \u0437\u0434\u0440\u0430\u0432\u043e\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u044f) \u0434\u043b\u044f Marketplace)<\/strong><\/h5>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443, \u0447\u0442\u043e\u0431\u044b \u0437\u0430\u043f\u0440\u043e\u0441\u0438\u0442\u044c \u043b\u044c\u0433\u043e\u0442\u044b Healthcare Cost Assistance (\u041a\u043e\u043c\u043f\u0435\u043d\u0441\u0430\u0446\u0438\u044f \u043e\u043f\u043b\u0430\u0442\u044b \u0443\u0441\u043b\u0443\u0433 \u0437\u0434\u0440\u0430\u0432\u043e\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u044f) \u0434\u043b\u044f Marketplace. \u0412\u0430\u043c \u043d\u0443\u0436\u043d\u043e \u043f\u0440\u0438\u043b\u043e\u0436\u0438\u0442\u044c Marketplace Eligibility Notice (\u0423\u0432\u0435\u0434\u043e\u043c\u043b\u0435\u043d\u0438\u0435 \u043e \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u0438\u0438 \u0442\u0440\u0435\u0431\u043e\u0432\u0430\u043d\u0438\u044f\u043c Marketplace) \u0438 \u0441\u0447\u0435\u0442 \u043d\u0430 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u043e\u0439 \u043f\u043b\u0430\u0442\u0435\u0436 <span>\u0438\u043b\u0438 \u0441\u0442\u0440\u0430\u043d\u0438\u0446\u0443 My Plans and Programs (\u041c\u043e\u0438 \u043f\u043b\u0430\u043d\u044b \u0438 \u043f\u0440\u043e\u0433\u0440\u0430\u043c\u043c\u044b) \u0438\u0437 \u0443\u0447\u0435\u0442\u043d\u043e\u0439 \u0437\u0430\u043f\u0438\u0441\u0438 \u043d\u0430 \u0441\u0430\u0439\u0442\u0435 <a href=\"https:\/\/www.healthcare.gov\/\">HealthCare.gov<\/a><\/span>, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0434\u0438\u0442\u044c \u0441\u0432\u043e\u0435 \u043f\u0440\u0430\u0432\u043e \u043d\u0430 \u044d\u0442\u0438 \u043b\u044c\u0433\u043e\u0442\u044b. \u0415\u0441\u043b\u0438 \u0432\u044b \u0437\u0430\u0440\u0435\u0433\u0438\u0441\u0442\u0440\u0438\u0440\u043e\u0432\u0430\u043b\u0438\u0441\u044c \u0432 \u043e\u0434\u043e\u0431\u0440\u0435\u043d\u043d\u043e\u043c \u043f\u043b\u0430\u043d\u0435 \u0441 \u043f\u043e\u043c\u043e\u0449\u044c\u044e \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442\u043e\u0432 Valley Insurance Professionals, \u0432\u0430\u043c \u043d\u0435 \u043d\u0443\u0436\u043d\u043e \u043e\u0442\u043f\u0440\u0430\u0432\u043b\u044f\u0442\u044c \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/231867527905163?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"> <i class=\"fas fa-align-left\"><\/i> <span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#187;on|on|on&#187; _builder_version=&#187;4.27.4&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; disabled=&#187;on&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">HIPAA Authorization (\u0420\u0430\u0437\u0440\u0435\u0448\u0435\u043d\u0438\u0435 HIPAA)<\/h5>\n<p>\u042d\u0442\u043e \u0443\u0432\u0435\u0434\u043e\u043c\u043b\u0435\u043d\u0438\u0435 \u0438\u043d\u0444\u043e\u0440\u043c\u0438\u0440\u0443\u0435\u0442 \u0432\u0430\u0441 \u043e \u0442\u043e\u043c, \u043a\u0430\u043a Carewell SEIU 503 \u043c\u043e\u0436\u0435\u0442 \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u0442\u044c \u0438 \u0440\u0430\u0441\u043a\u0440\u044b\u0432\u0430\u0442\u044c \u0432\u0430\u0448\u0443 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0443\u044e \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044e. \u0412 \u043d\u0435\u043c \u0442\u0430\u043a\u0436\u0435 \u0441\u043e\u0434\u0435\u0440\u0436\u0438\u0442\u0441\u044f \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044f \u043e \u0432\u0430\u0448\u0438\u0445 \u043f\u0440\u0430\u0432\u0430\u0445 \u043d\u0430 \u043a\u043e\u043d\u0444\u0438\u0434\u0435\u043d\u0446\u0438\u0430\u043b\u044c\u043d\u043e\u0441\u0442\u044c \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u043e\u0439 \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u0438.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/212707140010032?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"> <i class=\"fas fa-align-left\"><\/i> <span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#187;on|on|on&#187; _builder_version=&#187;4.27.4&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; disabled=&#187;on&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Statement of Understanding (\u0417\u0430\u044f\u0432\u043b\u0435\u043d\u0438\u0435 \u043e \u0432\u0437\u0430\u0438\u043c\u043e\u043f\u043e\u043d\u0438\u043c\u0430\u043d\u0438\u0438)<\/h5>\n<p>\u0414\u0430\u043d\u043d\u043e\u0435 \u0443\u0432\u0435\u0434\u043e\u043c\u043b\u0435\u043d\u0438\u0435 \u0441\u043b\u0443\u0436\u0438\u0442 \u0434\u043b\u044f \u0442\u043e\u0433\u043e, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u0441\u0442\u0430\u0432\u0449\u0438\u043a\u0438 \u0443\u0441\u043b\u0443\u0433 \u043f\u043e \u0443\u0445\u043e\u0434\u0443 \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0434\u0438\u043b\u0438 \u0441\u0432\u043e\u0438 \u043e\u0431\u044f\u0437\u0430\u043d\u043d\u043e\u0441\u0442\u0438 \u043f\u0440\u0438 \u043f\u043e\u043b\u0443\u0447\u0435\u043d\u0438\u0438 \u043b\u044c\u0433\u043e\u0442 Carewell SEIU 503.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/212707835282054?language=ru\" target=\"_blank\" rel=\"noopener\"> <i class=\"fas fa-align-left\"><\/i> <span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner use_custom_gutter=&#187;on&#187; gutter_width=&#187;1&#8243; _builder_version=&#187;4.16&#8243; custom_margin=&#187;0px||0px||false|false&#187; custom_padding=&#187;0px||0px||true|false&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text _builder_version=&#187;4.27.4&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Consent to Release Information Form (\u0424\u043e\u0440\u043c\u0430 \u0441\u043e\u0433\u043b\u0430\u0441\u0438\u044f \u043d\u0430 \u043f\u0443\u0431\u043b\u0438\u043a\u0430\u0446\u0438\u044e \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u0438)<\/h5>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u043e \u043f\u043e\u043b\u0435, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u0440\u0443\u0447\u0438\u0442\u044c \u0434\u043e\u0432\u0435\u0440\u0435\u043d\u043d\u043e\u043c\u0443 \u0447\u043b\u0435\u043d\u0443 \u0441\u0435\u043c\u044c\u0438 \u0438\u043b\u0438 \u0434\u0440\u0443\u0433\u0443 \u0434\u0435\u043b\u0430\u0442\u044c \u0437\u0430\u043f\u0440\u043e\u0441\u044b, \u043d\u0430\u0437\u043d\u0430\u0447\u0430\u0442\u044c \u0432\u0441\u0442\u0440\u0435\u0447\u0438 \u0438\u043b\u0438 \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u0442\u044c \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044e \u043e\u0442 \u0432\u0430\u0448\u0435\u0433\u043e \u0438\u043c\u0435\u043d\u0438.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/212285476973063?language=ru\" target=\"_blank\" rel=\"noopener\"> <i class=\"fas fa-align-left\"><\/i> <span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#187;on|on|on&#187; _builder_version=&#187;4.27.4&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; disabled=&#187;on&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Valley Insurance Professionals Agent of Record Form (\u0424\u043e\u0440\u043c\u0430 \u0437\u0430\u0440\u0435\u0433\u0438\u0441\u0442\u0440\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0433\u043e \u0430\u0433\u0435\u043d\u0442\u0430 Valley Insurance Professionals (VIP))<\/h5>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443, \u0447\u0442\u043e\u0431\u044b \u043d\u0430\u0437\u043d\u0430\u0447\u0438\u0442\u044c VIP \u0441\u0432\u043e\u0438\u043c \u0437\u0430\u0440\u0435\u0433\u0438\u0441\u0442\u0440\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u043c \u0430\u0433\u0435\u043d\u0442\u043e\u043c, \u043a\u043e\u0442\u043e\u0440\u044b\u0439 \u0431\u0443\u0434\u0435\u0442 \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u043b\u044f\u0442\u044c \u0432\u0430\u0448\u0438 \u0438\u043d\u0442\u0435\u0440\u0435\u0441\u044b \u0438 \u043f\u043e\u043c\u043e\u0433\u0430\u0442\u044c \u0432\u0430\u043c \u0443\u043f\u0440\u0430\u0432\u043b\u044f\u0442\u044c \u0432\u0430\u0448\u0438\u043c \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u044b\u043c \u043f\u043e\u043b\u0438\u0441\u043e\u043c.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/212707338765058?language=ru\" target=\"_blank\" rel=\"noopener\"> <i class=\"fas fa-align-left\"><\/i> <span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner use_custom_gutter=&#187;on&#187; gutter_width=&#187;1&#8243; _builder_version=&#187;4.16&#8243; custom_margin=&#187;0px||0px||false|false&#187; custom_padding=&#187;0px||0px||true|false&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.23.1&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#FFFFFF&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Direct Deposit Form (\u0424\u043e\u0440\u043c\u0430 \u043f\u0440\u044f\u043c\u043e\u0433\u043e \u043f\u0435\u0440\u0435\u0432\u043e\u0434\u0430 \u043d\u0430 \u0441\u0447\u0435\u0442)<\/h5>\n<p>\u0417\u0430\u0440\u0435\u0433\u0438\u0441\u0442\u0440\u0438\u0440\u0443\u0439\u0442\u0435\u0441\u044c, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u043b\u0443\u0447\u0430\u0442\u044c \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u044b\u0445 \u043f\u043b\u0430\u0442\u0435\u0436\u0435\u0439 \u043f\u0440\u044f\u043c\u044b\u043c \u043f\u0435\u0440\u0435\u0432\u043e\u0434\u043e\u043c \u043d\u0430 \u0441\u0447\u0435\u0442. \u042d\u0442\u043e \u0441\u0430\u043c\u044b\u0439 \u043f\u0440\u043e\u0441\u0442\u043e\u0439 \u0438 \u0431\u044b\u0441\u0442\u0440\u044b\u0439 \u0441\u043f\u043e\u0441\u043e\u0431 \u043f\u043e\u043b\u0443\u0447\u0435\u043d\u0438\u044f \u0432\u044b\u043f\u043b\u0430\u0442\u044b. <strong>\u0412\u044b \u0434\u043e\u043b\u0436\u043d\u044b \u043f\u0440\u0438\u043b\u043e\u0436\u0438\u0442\u044c \u043a\u043e\u043f\u0438\u044e \u0430\u043d\u043d\u0443\u043b\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0433\u043e \u0447\u0435\u043a\u0430, \u043f\u0438\u0441\u044c\u043c\u043e \u0438\u0437 \u0431\u0430\u043d\u043a\u0430 \u0438\u043b\u0438 \u0432\u044b\u043f\u0438\u0441\u043a\u0443 \u0438\u0437 \u0431\u0430\u043d\u043a\u0430.<\/strong><br \/>[et_pb_section global_module=\"274302\"][\/et_pb_section]<\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#187;on|on|on&#187; _builder_version=&#187;4.23.1&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; disabled=&#187;on&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Medical Premium Reimbursement Claim Form (\u0424\u043e\u0440\u043c\u0430 \u0437\u0430\u043f\u0440\u043e\u0441\u0430 \u043d\u0430 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u044b\u0445 \u043f\u043b\u0430\u0442\u0435\u0436\u0435\u0439 \u043f\u043e \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u043e\u0439 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u043a\u0435)<\/h5>\n<p>\u0418\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0439\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443 \u0434\u043b\u044f \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044f \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u044b\u0445 \u043f\u043b\u0430\u0442\u0435\u0436\u0435\u0439, \u0435\u0441\u043b\u0438 \u0432\u044b \u0437\u0430\u0440\u0435\u0433\u0438\u0441\u0442\u0440\u0438\u0440\u043e\u0432\u0430\u043d\u044b \u0432 \u043f\u043b\u0430\u043d\u0435 \u0432\u043c\u0435\u0441\u0442\u0435 \u0441 \u0447\u043b\u0435\u043d\u0430\u043c\u0438 \u0441\u0435\u043c\u044c\u0438 \u0438\/\u0438\u043b\u0438 \u0432\u044b \u0438\u043c\u0435\u0435\u0442\u0435 \u043f\u0440\u0430\u0432\u043e \u043d\u0430 \u0432\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0435 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435, \u0440\u0430\u0432\u043d\u043e\u0435 \u0441\u0440\u0435\u0434\u043d\u0435\u0439 \u0441\u0443\u043c\u043c\u0435 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u043e\u0433\u043e \u043f\u043b\u0430\u0442\u0435\u0436\u0430 (APR), \u043f\u043e \u043d\u0435\u043e\u0434\u043e\u0431\u0440\u0435\u043d\u043d\u043e\u043c\u0443 \u043f\u043b\u0430\u043d\u0443. \u041e\u0442\u043f\u0440\u0430\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0441 \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u043e\u043c, \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u044e\u0449\u0438\u043c \u043d\u0430\u043b\u0438\u0447\u0438\u0435 \u0438\u043d\u0434\u0438\u0432\u0438\u0434\u0443\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u043e\u0433\u043e \u043f\u043e\u043a\u0440\u044b\u0442\u0438\u044f.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/212288173993062?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"> <i class=\"fas fa-align-left\"><\/i> \u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/a>[\/et_pb_text][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.23.1&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Medical Premium Reimbursement Claim Form (\u0424\u043e\u0440\u043c\u0430 \u0437\u0430\u043f\u0440\u043e\u0441\u0430 \u043d\u0430 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u044b\u0445 \u043f\u043b\u0430\u0442\u0435\u0436\u0435\u0439 \u043f\u043e \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u043e\u0439 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u043a\u0435)<\/h5>\n<p>\u0418\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0439\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443 \u0434\u043b\u044f \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044f \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u044b\u0445 \u043f\u043b\u0430\u0442\u0435\u0436\u0435\u0439, \u0435\u0441\u043b\u0438 \u0432\u044b \u0437\u0430\u0440\u0435\u0433\u0438\u0441\u0442\u0440\u0438\u0440\u043e\u0432\u0430\u043d\u044b \u0432 \u043f\u043b\u0430\u043d\u0435 \u0432\u043c\u0435\u0441\u0442\u0435 \u0441 \u0447\u043b\u0435\u043d\u0430\u043c\u0438 \u0441\u0435\u043c\u044c\u0438 \u0438\/\u0438\u043b\u0438 \u0432\u044b \u0438\u043c\u0435\u0435\u0442\u0435 \u043f\u0440\u0430\u0432\u043e \u043d\u0430 \u0432\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0435 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435, \u0440\u0430\u0432\u043d\u043e\u0435 \u0441\u0440\u0435\u0434\u043d\u0435\u0439 \u0441\u0443\u043c\u043c\u0435 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u043e\u0433\u043e \u043f\u043b\u0430\u0442\u0435\u0436\u0430 (APR), \u043f\u043e \u043d\u0435\u043e\u0434\u043e\u0431\u0440\u0435\u043d\u043d\u043e\u043c\u0443 \u043f\u043b\u0430\u043d\u0443. \u041e\u0442\u043f\u0440\u0430\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0441 \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u043e\u043c, \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u044e\u0449\u0438\u043c \u043d\u0430\u043b\u0438\u0447\u0438\u0435 \u0438\u043d\u0434\u0438\u0432\u0438\u0434\u0443\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u043e\u0433\u043e \u043f\u043e\u043a\u0440\u044b\u0442\u0438\u044f.<br \/>\n[et_pb_section global_module=\"274303\"][\/et_pb_section][\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner use_custom_gutter=&#187;on&#187; gutter_width=&#187;1&#8243; custom_padding_last_edited=&#187;on|phone&#187; disabled_on=&#187;off|off|off&#187; module_class=&#187;twoColumns&#187; _builder_version=&#187;4.16&#8243; background_enable_color=&#187;off&#187; custom_margin=&#187;0px||25px||false|true&#187; custom_padding=&#187;0px|0px|0px|0px|false|true&#187; custom_padding_tablet=&#187;&#187; custom_padding_phone=&#187;0px|0px|0px|0px|false|true&#187; border_radii=&#187;on|0px|0px|0px|0px&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; background_enable_color=&#187;off&#187; global_colors_info=&#187;{}&#187;][et_pb_text disabled_on=&#187;on|on|on&#187; _builder_version=&#187;4.27.4&#8243; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; disabled=&#187;on&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Ameriflex Reimbursement Claim Form (\u0424\u043e\u0440\u043c\u0430 \u0437\u0430\u043f\u0440\u043e\u0441\u0430 \u043d\u0430 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432 Ameriflex)<\/h5>\n<p class=\"p1\">\u0421 \u043f\u043e\u043c\u043e\u0449\u044c\u044e \u044d\u0442\u043e\u0439 \u0444\u043e\u0440\u043c\u044b \u0432\u044b \u043c\u043e\u0436\u0435\u0442\u0435 \u0437\u0430\u043f\u0440\u043e\u0441\u0438\u0442\u044c \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435, \u0435\u0441\u043b\u0438 \u0432\u044b \u043e\u043f\u043b\u0430\u0442\u0438\u043b\u0438 \u043f\u043e\u043a\u0440\u044b\u0432\u0430\u0435\u043c\u044b\u0435 \u0440\u0430\u0441\u0445\u043e\u0434\u044b \u0441\u043e\u0431\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u043c\u0438 \u0441\u0440\u0435\u0434\u0441\u0442\u0432\u0430\u043c\u0438, \u0430 \u043d\u0435 \u043a\u0430\u0440\u0442\u043e\u0439 Benefit Convenience Card (BCC). \u0421 \u043f\u043e\u043c\u043e\u0449\u044c\u044e \u044d\u0442\u043e\u0439 \u0444\u043e\u0440\u043c\u044b \u0432\u044b \u0442\u0430\u043a\u0436\u0435 \u043c\u043e\u0436\u0435\u0442\u0435 \u0437\u0430\u043f\u0440\u043e\u0441\u0438\u0442\u044c \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0435\u0436\u0435\u043c\u0435\u0441\u044f\u0447\u043d\u043e\u0433\u043e \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u043e\u0433\u043e \u043f\u043b\u0430\u0442\u0435\u0436\u0430 \u043f\u043e\u0441\u043b\u0435 \u0444\u0435\u0434\u0435\u0440\u0430\u043b\u044c\u043d\u043e\u0439 \u043d\u0430\u043b\u043e\u0433\u043e\u0432\u043e\u0439 \u0441\u0443\u0431\u0441\u0438\u0434\u0438\u0438 \u0434\u043b\u044f \u043e\u0434\u043e\u0431\u0440\u0435\u043d\u043d\u044b\u0445 Carewell \u0438\u043d\u0434\u0438\u0432\u0438\u0434\u0443\u0430\u043b\u044c\u043d\u044b\u0445 \u043f\u043b\u0430\u043d\u043e\u0432, \u043f\u0440\u0438\u043e\u0431\u0440\u0435\u0442\u0435\u043d\u043d\u044b\u0445 \u0447\u0435\u0440\u0435\u0437 \u0431\u0438\u0440\u0436\u0443 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u043e\u0433\u043e \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u0430\u043d\u0438\u044f Marketplace.\u00a0<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/participant.myameriflex.com\/#\/login?returnUrl=https%253A%252F%252Fparticipant.myameriflex.com%252F\" target=\"_blank\" rel=\"noopener noreferrer\"> <i class=\"fas fa-align-left\"><\/i> <span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][et_pb_code _builder_version=&#187;4.27.4&#8243; _module_preset=&#187;default&#187; custom_padding=&#187;0px||0px||false|false&#187; global_colors_info=&#187;{}&#187;][et_pb_section global_module=\"294390\"][\/et_pb_section][\/et_pb_code][et_pb_text disabled_on=&#187;on|on|on&#187; _builder_version=&#187;4.23.1&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; disabled=&#187;on&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Advance Premium Tax Credit Adjustment Form (\u0424\u043e\u0440\u043c\u0430 \u043a\u043e\u0440\u0440\u0435\u043a\u0442\u0438\u0440\u043e\u0432\u043a\u0438 \u0430\u0432\u0430\u043d\u0441\u043e\u0432\u043e\u0439 \u043d\u0430\u043b\u043e\u0433\u043e\u0432\u043e\u0439 \u0441\u0443\u0431\u0441\u0438\u0434\u0438\u0438 \u0432 \u0441\u0447\u0435\u0442 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u044b\u0445 \u043f\u043b\u0430\u0442\u0435\u0436\u0435\u0439)<\/h5>\n<p>\u0418\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0439\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443, \u0435\u0441\u043b\u0438 \u0434\u043e\u0445\u043e\u0434, \u043e \u043a\u043e\u0442\u043e\u0440\u043e\u043c \u0432\u044b \u0441\u043e\u043e\u0431\u0449\u0438\u043b\u0438 IRS \u0432 \u0441\u0432\u043e\u0435\u043c \u0437\u0430\u044f\u0432\u043b\u0435\u043d\u0438\u0438 \u043d\u0430 Marketplace, \u043e\u0442\u043b\u0438\u0447\u0430\u0435\u0442\u0441\u044f \u043e\u0442 \u0442\u0435\u043a\u0443\u0449\u0435\u0433\u043e. \u0424\u043e\u0440\u043c\u0430 \u043f\u043e\u043c\u043e\u0436\u0435\u0442 \u043d\u0430\u043c \u043e\u043f\u0440\u0435\u0434\u0435\u043b\u0438\u0442\u044c, \u043c\u043e\u0436\u0435\u043c \u043b\u0438 \u043c\u044b \u043f\u043e\u043c\u043e\u0447\u044c \u0432\u0430\u043c \u043e\u043f\u043b\u0430\u0442\u0438\u0442\u044c \u0441\u0443\u043c\u043c\u0443, \u043a\u043e\u0442\u043e\u0440\u0443\u044e \u0432\u044b \u0435\u0449\u0435 \u043d\u0435 \u043e\u043f\u043b\u0430\u0442\u0438\u043b\u0438, \u0438\u043b\u0438 \u0436\u0435 \u0432\u044b \u043f\u043e\u043b\u0443\u0447\u0438\u043b\u0438 \u043f\u0435\u0440\u0435\u043f\u043b\u0430\u0442\u0443 \u043d\u0430\u043b\u043e\u0433\u043e\u0432\u043e\u0439 \u0441\u0443\u0431\u0441\u0438\u0434\u0438\u0438 \u0432 \u0441\u0447\u0435\u0442 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u044b\u0445 \u043f\u043b\u0430\u0442\u0435\u0436\u0435\u0439. \u041f\u043e\u0434\u0430\u0435\u0442\u0441\u044f \u0432\u043c\u0435\u0441\u0442\u0435 \u0441 \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u044e\u0449\u0438\u043c\u0438 \u043d\u0430\u043b\u043e\u0433\u043e\u0432\u044b\u043c\u0438 \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u0430\u043c\u0438.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/212297282699066?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"> <i class=\"fas fa-align-left\"><\/i> \u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/a>[\/et_pb_text][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.23.1&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Advance Premium Tax Credit Adjustment Form (\u0424\u043e\u0440\u043c\u0430 \u043a\u043e\u0440\u0440\u0435\u043a\u0442\u0438\u0440\u043e\u0432\u043a\u0438 \u0430\u0432\u0430\u043d\u0441\u043e\u0432\u043e\u0439 \u043d\u0430\u043b\u043e\u0433\u043e\u0432\u043e\u0439 \u0441\u0443\u0431\u0441\u0438\u0434\u0438\u0438 \u0432 \u0441\u0447\u0435\u0442 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u044b\u0445 \u043f\u043b\u0430\u0442\u0435\u0436\u0435\u0439)<\/h5>\n<p>\u0418\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0439\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443, \u0435\u0441\u043b\u0438 \u0434\u043e\u0445\u043e\u0434, \u043e \u043a\u043e\u0442\u043e\u0440\u043e\u043c \u0432\u044b \u0441\u043e\u043e\u0431\u0449\u0438\u043b\u0438 IRS \u0432 \u0441\u0432\u043e\u0435\u043c \u0437\u0430\u044f\u0432\u043b\u0435\u043d\u0438\u0438 \u043d\u0430 Marketplace, \u043e\u0442\u043b\u0438\u0447\u0430\u0435\u0442\u0441\u044f \u043e\u0442 \u0442\u0435\u043a\u0443\u0449\u0435\u0433\u043e. \u0424\u043e\u0440\u043c\u0430 \u043f\u043e\u043c\u043e\u0436\u0435\u0442 \u043d\u0430\u043c \u043e\u043f\u0440\u0435\u0434\u0435\u043b\u0438\u0442\u044c, \u043c\u043e\u0436\u0435\u043c \u043b\u0438 \u043c\u044b \u043f\u043e\u043c\u043e\u0447\u044c \u0432\u0430\u043c \u043e\u043f\u043b\u0430\u0442\u0438\u0442\u044c \u0441\u0443\u043c\u043c\u0443, \u043a\u043e\u0442\u043e\u0440\u0443\u044e \u0432\u044b \u0435\u0449\u0435 \u043d\u0435 \u043e\u043f\u043b\u0430\u0442\u0438\u043b\u0438, \u0438\u043b\u0438 \u0436\u0435 \u0432\u044b \u043f\u043e\u043b\u0443\u0447\u0438\u043b\u0438 \u043f\u0435\u0440\u0435\u043f\u043b\u0430\u0442\u0443 \u043d\u0430\u043b\u043e\u0433\u043e\u0432\u043e\u0439 \u0441\u0443\u0431\u0441\u0438\u0434\u0438\u0438 \u0432 \u0441\u0447\u0435\u0442 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u044b\u0445 \u043f\u043b\u0430\u0442\u0435\u0436\u0435\u0439. \u041f\u043e\u0434\u0430\u0435\u0442\u0441\u044f \u0432\u043c\u0435\u0441\u0442\u0435 \u0441 \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u044e\u0449\u0438\u043c\u0438 \u043d\u0430\u043b\u043e\u0433\u043e\u0432\u044b\u043c\u0438 \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u0430\u043c\u0438.<br \/>\n[et_pb_section global_module=\"274304\"][\/et_pb_section][\/et_pb_text][et_pb_text _builder_version=&#187;4.27.4&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Eligibility and Reimbursement Appeal Form (\u0424\u043e\u0440\u043c\u0430 \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438 \u043f\u043e \u0432\u043e\u043f\u0440\u043e\u0441\u0430\u043c \u043f\u0440\u0430\u0432\u043e\u043c\u043e\u0447\u043d\u043e\u0441\u0442\u0438 \u0438 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044f \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432)<\/h5>\n<p>\u0418\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0439\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443 \u0438 \u043b\u0438\u0431\u043e \u0437\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u043f\u043e\u043b\u0435, \u043e\u0431\u044a\u044f\u0441\u043d\u044f\u044e\u0449\u0435\u0435 \u043f\u0440\u0438\u0447\u0438\u043d\u0443 \u043f\u043e\u0434\u0430\u0447\u0438 \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438, \u043b\u0438\u0431\u043e \u0437\u0430\u0433\u0440\u0443\u0437\u0438\u0442\u0435 \u043f\u0438\u0441\u044c\u043c\u043e \u0441 \u043e\u0431\u044a\u044f\u0441\u043d\u0435\u043d\u0438\u044f\u043c\u0438. \u041a \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438 \u043f\u043e \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044e \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432 \u0441\u043b\u0435\u0434\u0443\u0435\u0442 \u043f\u0440\u0438\u043b\u043e\u0436\u0438\u0442\u044c \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u044e\u0449\u0443\u044e \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u0430\u0446\u0438\u044e, \u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, Explanation of Benefits (\u0420\u0430\u0441\u0448\u0438\u0444\u0440\u043e\u0432\u043a\u0443 \u043b\u044c\u0433\u043e\u0442, EOB) \u0438\u043b\u0438 \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0435\u043d\u0438\u0435 \u043e\u043f\u043b\u0430\u0442\u044b.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/212296895694070?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"> <i class=\"fas fa-align-left\"><\/i> <span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#187;4.27.4&#8243; _module_preset=&#187;default&#187; background_color=&#187;#ffffff&#187; custom_padding=&#187;15px|15px|15px|15px|false|false&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\"><span style=\"color: #582c82;\">Overpayment Appeal Form (\u0424\u043e\u0440\u043c\u0430 \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438 \u0432 \u0441\u0432\u044f\u0437\u0438 \u0441 \u043f\u0435\u0440\u0435\u043f\u043b\u0430\u0442\u043e\u0439)<\/span><\/h5>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u0434\u0430\u0442\u044c \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u044e \u0432 \u0441\u0432\u044f\u0437\u0438 \u0441 \u043f\u0435\u0440\u0435\u043f\u043b\u0430\u0442\u043e\u0439 \u043e\u0442 Carewell SEIU\u00a0503.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/241055798317059?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"><i class=\"fas fa-align-left\"><\/i><span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner _builder_version=&#187;4.16&#8243; custom_padding=&#187;3px||2px|||&#187; locked=&#187;off&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text module_id=&#187;hcamedicareanchor&#187; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h2>Healthcare Cost Assistance (\u041a\u043e\u043c\u043f\u0435\u043d\u0441\u0430\u0446\u0438\u044f \u043e\u043f\u043b\u0430\u0442\u044b \u0443\u0441\u043b\u0443\u0433 \u0437\u0434\u0440\u0430\u0432\u043e\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u044f)<\/h2>\n<h3>\u0414\u043b\u044f Medicare<\/h3>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner use_custom_gutter=&#187;on&#187; gutter_width=&#187;1&#8243; _builder_version=&#187;4.16&#8243; custom_margin=&#187;0px||0px||false|false&#187; custom_padding=&#187;0px||0px||true|false&#187; collapsed=&#187;on&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.27.4&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Medicare Healthcare Cost Assistance Benefits Request Form (\u0424\u043e\u0440\u043c\u0430 \u0437\u0430\u043f\u0440\u043e\u0441\u0430 \u043b\u044c\u0433\u043e\u0442 Healthcare Cost Assistance (\u041a\u043e\u043c\u043f\u0435\u043d\u0441\u0430\u0446\u0438\u044f \u043e\u043f\u043b\u0430\u0442\u044b \u0443\u0441\u043b\u0443\u0433 \u0437\u0434\u0440\u0430\u0432\u043e\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u044f) \u043f\u043e \u043f\u043b\u0430\u043d\u0443 Medicare)<\/h5>\n<p data-pm-slice=\"1 1 []\">\u0412\u043e\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0439\u0442\u0435\u0441\u044c \u044d\u0442\u043e\u0439 \u0444\u043e\u0440\u043c\u043e\u0439 \u0434\u043b\u044f \u043f\u043e\u0434\u0430\u0447\u0438 \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u044b\u0445 \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u043e\u0432, \u0447\u0442\u043e\u0431\u044b \u0437\u0430\u043f\u0440\u043e\u0441\u0438\u0442\u044c \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0447\u0430\u0441\u0442\u0438 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u044b\u0445 \u043f\u043b\u0430\u0442\u0435\u0436\u0435\u0439 \u043f\u043e \u043f\u043b\u0430\u043d\u0443 Medicare \u0438 \u043f\u043e\u043b\u0443\u0447\u0430\u0442\u044c \u0441\u0440\u0435\u0434\u0441\u0442\u0432\u0430 \u043d\u0430 \u043f\u043e\u043a\u0440\u044b\u0442\u0438\u0435 \u0441\u0430\u043c\u043e\u0441\u0442\u043e\u044f\u0442\u0435\u043b\u044c\u043d\u043e \u043e\u043f\u043b\u0430\u0447\u0435\u043d\u043d\u044b\u0445 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u0445 \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432.[et_pb_section global_module=\"274305\"][\/et_pb_section]<\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#187;on|on|on&#187; _builder_version=&#187;4.27.4&#8243; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; disabled=&#187;on&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Ameriflex Reimbursement Claim Form (\u0424\u043e\u0440\u043c\u0430 \u0437\u0430\u043f\u0440\u043e\u0441\u0430 \u043d\u0430 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432 Ameriflex)<\/h5>\n<p class=\"p1\">\u0421 \u043f\u043e\u043c\u043e\u0449\u044c\u044e \u044d\u0442\u043e\u0439 \u0444\u043e\u0440\u043c\u044b \u0432\u044b \u043c\u043e\u0436\u0435\u0442\u0435 \u0437\u0430\u043f\u0440\u043e\u0441\u0438\u0442\u044c \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435, \u0435\u0441\u043b\u0438 \u0432\u044b \u043e\u043f\u043b\u0430\u0442\u0438\u043b\u0438 \u043f\u043e\u043a\u0440\u044b\u0432\u0430\u0435\u043c\u044b\u0435 \u0440\u0430\u0441\u0445\u043e\u0434\u044b \u0441\u043e\u0431\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u043c\u0438 \u0441\u0440\u0435\u0434\u0441\u0442\u0432\u0430\u043c\u0438, \u0430 \u043d\u0435 \u043a\u0430\u0440\u0442\u043e\u0439 Benefit Convenience Card (BCC). \u0421 \u043f\u043e\u043c\u043e\u0449\u044c\u044e \u044d\u0442\u043e\u0439 \u0444\u043e\u0440\u043c\u044b \u0432\u044b \u0442\u0430\u043a\u0436\u0435 \u043c\u043e\u0436\u0435\u0442\u0435 \u0437\u0430\u043f\u0440\u043e\u0441\u0438\u0442\u044c \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0435\u0436\u0435\u043c\u0435\u0441\u044f\u0447\u043d\u043e\u0433\u043e \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u043e\u0433\u043e \u043f\u043b\u0430\u0442\u0435\u0436\u0430 \u043f\u043e\u0441\u043b\u0435 \u0444\u0435\u0434\u0435\u0440\u0430\u043b\u044c\u043d\u043e\u0439 \u043d\u0430\u043b\u043e\u0433\u043e\u0432\u043e\u0439 \u0441\u0443\u0431\u0441\u0438\u0434\u0438\u0438 \u0434\u043b\u044f \u043e\u0434\u043e\u0431\u0440\u0435\u043d\u043d\u044b\u0445 Carewell \u0438\u043d\u0434\u0438\u0432\u0438\u0434\u0443\u0430\u043b\u044c\u043d\u044b\u0445 \u043f\u043b\u0430\u043d\u043e\u0432, \u043f\u0440\u0438\u043e\u0431\u0440\u0435\u0442\u0435\u043d\u043d\u044b\u0445 \u0447\u0435\u0440\u0435\u0437 \u0431\u0438\u0440\u0436\u0443 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u043e\u0433\u043e \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u0430\u043d\u0438\u044f Marketplace.\u00a0<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/participant.myameriflex.com\/#\/login?returnUrl=https%253A%252F%252Fparticipant.myameriflex.com%252F\" target=\"_blank\" rel=\"noopener noreferrer\"> <i class=\"fas fa-align-left\"><\/i> <span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.27.4&#8243; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<p class=\"p1\">[et_pb_section global_module=\"294390\"][\/et_pb_section]<\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#187;on|on|on&#187; _builder_version=&#187;4.23.1&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; disabled=&#187;on&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">\u0414\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u044b Carewell Medicare<\/h5>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u0438 \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u044b \u043f\u0440\u0438 \u043f\u0435\u0440\u0432\u0438\u0447\u043d\u043e\u043c \u043f\u0435\u0440\u0435\u0445\u043e\u0434\u0435 \u043d\u0430 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u043e\u0435 \u043f\u043e\u043a\u0440\u044b\u0442\u0438\u0435 Medicare, \u0447\u0442\u043e\u0431\u044b \u043f\u0440\u043e\u0432\u0435\u0440\u0438\u0442\u044c, \u0438\u043c\u0435\u0435\u0442\u0435 \u043b\u0438 \u0432\u044b \u043f\u0440\u0430\u0432\u043e \u043d\u0430 \u043f\u043e\u043b\u0443\u0447\u0435\u043d\u0438\u0435 \u043b\u044c\u0433\u043e\u0442 Healthcare Cost Assistance (\u041a\u043e\u043c\u043f\u0435\u043d\u0441\u0430\u0446\u0438\u044f \u043e\u043f\u043b\u0430\u0442\u044b \u0443\u0441\u043b\u0443\u0433 \u0437\u0434\u0440\u0430\u0432\u043e\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u044f). <span>\u0417\u0430\u043f\u043e\u043b\u043d\u044f\u044f \u044d\u0442\u0438 \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u044b, \u0432\u044b \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u0435\u0442\u0435, \u0447\u0442\u043e \u043f\u043e\u043d\u0438\u043c\u0430\u0435\u0442\u0435 \u043f\u0440\u0430\u0432\u0438\u043b\u0430 \u043f\u0440\u043e\u0433\u0440\u0430\u043c\u043c\u044b, \u0440\u0435\u0433\u0443\u043b\u0438\u0440\u0443\u0435\u043c\u044b\u0435 \u043f\u0440\u0430\u0432\u0438\u043b\u0430\u043c\u0438 \u0444\u043e\u043d\u0434\u0430, \u0438 \u0441\u043e\u0433\u043b\u0430\u0448\u0430\u0435\u0442\u0435\u0441\u044c \u0441 \u043d\u0438\u043c\u0438. <\/span>\u041e\u0431\u0440\u0430\u0442\u0438\u0442\u0435 \u0432\u043d\u0438\u043c\u0430\u043d\u0438\u0435: \u043f\u0440\u0438 \u043b\u044e\u0431\u043e\u043c \u0438\u0437\u043c\u0435\u043d\u0435\u043d\u0438\u0438 \u0432 \u043f\u043b\u0430\u043d\u0430\u0445 \u0432\u0430\u043c \u043d\u0443\u0436\u043d\u043e \u0431\u0443\u0434\u0435\u0442 \u0437\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u044c \u0438\u0445 \u0441\u043d\u043e\u0432\u0430.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/212365814640049?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"> <i class=\"fas fa-align-left\"><\/i> \u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/a>[\/et_pb_text][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.27.4&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">\u0414\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u044b Valley Insurance Professionals (VIP) Medicare<\/h5>\n<p><span>\u042d\u0442\u0438 \u0444\u043e\u0440\u043c\u044b \u044f\u0432\u043b\u044f\u044e\u0442\u0441\u044f \u0437\u0430\u043a\u043e\u043d\u043d\u044b\u043c \u043e\u0441\u043d\u043e\u0432\u0430\u043d\u0438\u0435\u043c \u0434\u043b\u044f \u0442\u043e\u0433\u043e, \u0447\u0442\u043e\u0431\u044b \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442\u044b Valley Insurance Professionals \u043e\u043a\u0430\u0437\u044b\u0432\u0430\u043b\u0438 \u0432\u0430\u043c \u043f\u043e\u043c\u043e\u0449\u044c \u0432 \u043e\u0437\u043d\u0430\u043a\u043e\u043c\u043b\u0435\u043d\u0438\u0438 \u0441 \u043f\u043b\u0430\u043d\u0430\u043c\u0438 Medicare Supplement, Advantage, \u0438\u043b\u0438 \u0427\u0430\u0441\u0442\u044c\u00a0D, \u0440\u0435\u0433\u0438\u0441\u0442\u0440\u0430\u0446\u0438\u0438 \u0432 \u043d\u0438\u0445 \u0438 \u0438\u0445 \u0434\u0430\u043b\u044c\u043d\u0435\u0439\u0448\u0435\u043c \u0441\u043e\u043f\u0440\u043e\u0432\u043e\u0436\u0434\u0435\u043d\u0438\u0438.<\/span><\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/212365814640049?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"> <i class=\"fas fa-align-left\"><\/i><span style=\"text-decoration: underline;\">\u00a0\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#187;4.27.4&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Consent to Release Information Form (\u0424\u043e\u0440\u043c\u0430 \u0441\u043e\u0433\u043b\u0430\u0441\u0438\u044f \u043d\u0430 \u043f\u0443\u0431\u043b\u0438\u043a\u0430\u0446\u0438\u044e \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u0438)<\/h5>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u043e \u043f\u043e\u043b\u0435, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u0440\u0443\u0447\u0438\u0442\u044c \u0434\u043e\u0432\u0435\u0440\u0435\u043d\u043d\u043e\u043c\u0443 \u0447\u043b\u0435\u043d\u0443 \u0441\u0435\u043c\u044c\u0438 \u0438\u043b\u0438 \u0434\u0440\u0443\u0433\u0443 \u0434\u0435\u043b\u0430\u0442\u044c \u0437\u0430\u043f\u0440\u043e\u0441\u044b, \u043d\u0430\u0437\u043d\u0430\u0447\u0430\u0442\u044c \u0432\u0441\u0442\u0440\u0435\u0447\u0438 \u0438\u043b\u0438 \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u0442\u044c \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044e \u043e\u0442 \u0432\u0430\u0448\u0435\u0433\u043e \u0438\u043c\u0435\u043d\u0438.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/212285476973063?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"> <i class=\"fas fa-align-left\"><\/i> <span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.23.1&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Direct Deposit Form (\u0424\u043e\u0440\u043c\u0430 \u043f\u0440\u044f\u043c\u043e\u0433\u043e \u043f\u0435\u0440\u0435\u0432\u043e\u0434\u0430 \u043d\u0430 \u0441\u0447\u0435\u0442)<\/h5>\n<p>\u0417\u0430\u0440\u0435\u0433\u0438\u0441\u0442\u0440\u0438\u0440\u0443\u0439\u0442\u0435\u0441\u044c, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u043b\u0443\u0447\u0430\u0442\u044c \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u044b\u0445 \u043f\u043b\u0430\u0442\u0435\u0436\u0435\u0439 \u043f\u0440\u044f\u043c\u044b\u043c \u043f\u0435\u0440\u0435\u0432\u043e\u0434\u043e\u043c \u043d\u0430 \u0441\u0447\u0435\u0442. \u042d\u0442\u043e \u0441\u0430\u043c\u044b\u0439 \u043f\u0440\u043e\u0441\u0442\u043e\u0439 \u0438 \u0431\u044b\u0441\u0442\u0440\u044b\u0439 \u0441\u043f\u043e\u0441\u043e\u0431 \u043f\u043e\u043b\u0443\u0447\u0435\u043d\u0438\u044f \u0432\u044b\u043f\u043b\u0430\u0442\u044b. <strong>\u0412\u044b \u0434\u043e\u043b\u0436\u043d\u044b \u043f\u0440\u0438\u043b\u043e\u0436\u0438\u0442\u044c \u043a\u043e\u043f\u0438\u044e \u0430\u043d\u043d\u0443\u043b\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0433\u043e \u0447\u0435\u043a\u0430, \u043f\u0438\u0441\u044c\u043c\u043e \u0438\u0437 \u0431\u0430\u043d\u043a\u0430 \u0438\u043b\u0438 \u0432\u044b\u043f\u0438\u0441\u043a\u0443 \u0438\u0437 \u0431\u0430\u043d\u043a\u0430.<\/strong><br \/>\n[et_pb_section global_module=\"274302\"][\/et_pb_section][\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner use_custom_gutter=&#187;on&#187; gutter_width=&#187;1&#8243; _builder_version=&#187;4.16&#8243; custom_margin=&#187;0px||0px||false|false&#187; custom_padding=&#187;0px||0px||true|false&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text disabled_on=&#187;on|on|on&#187; _builder_version=&#187;4.23.1&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; disabled=&#187;on&#187; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Medicare Premium Reimbursement Claim Form (\u0424\u043e\u0440\u043c\u0430 \u0437\u0430\u043f\u0440\u043e\u0441\u0430 \u043d\u0430 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u044b\u0445 \u043f\u043b\u0430\u0442\u0435\u0436\u0435\u0439 \u043f\u043e \u043f\u0440\u043e\u0433\u0440\u0430\u043c\u043c\u0435 Medicare)<\/h5>\n<p>\u0421 \u043f\u043e\u043c\u043e\u0449\u044c\u044e \u044d\u0442\u043e\u0439 \u0444\u043e\u0440\u043c\u044b \u0432\u044b \u043c\u043e\u0436\u0435\u0442\u0435 \u043f\u043e\u043b\u0443\u0447\u0438\u0442\u044c \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u0435\u0436\u0435\u043c\u0435\u0441\u044f\u0447\u043d\u044b\u0445 \u0441\u0442\u0440\u0430\u0445\u043e\u0432\u044b\u0445 \u043f\u043b\u0430\u0442\u0435\u0436\u0435\u0439 \u043f\u043e \u043f\u0440\u043e\u0433\u0440\u0430\u043c\u043c\u0435 Medicare \u2014 \u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, \u0434\u043b\u044f \u043f\u043b\u0430\u043d\u043e\u0432 Medicare \u0427\u0430\u0441\u0442\u044c\u00a0B, Medicare \u0427\u0430\u0441\u0442\u044c\u00a0D, Supplement \u0438 Advantage.<br \/>\n[et_pb_section global_module=\"274305\"][\/et_pb_section][\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner use_custom_gutter=&#187;on&#187; gutter_width=&#187;1&#8243; _builder_version=&#187;4.16&#8243; custom_margin=&#187;0px||0px||false|false&#187; custom_padding=&#187;0px||0px||true|false&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text _builder_version=&#187;4.27.4&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Eligibility and Reimbursement Appeal Form (\u0424\u043e\u0440\u043c\u0430 \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438 \u043f\u043e \u0432\u043e\u043f\u0440\u043e\u0441\u0430\u043c \u043f\u0440\u0430\u0432\u043e\u043c\u043e\u0447\u043d\u043e\u0441\u0442\u0438 \u0438 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044f \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432)<\/h5>\n<p>\u0418\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0439\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443 \u0438 \u043b\u0438\u0431\u043e \u0437\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u043f\u043e\u043b\u0435, \u043e\u0431\u044a\u044f\u0441\u043d\u044f\u044e\u0449\u0435\u0435 \u043f\u0440\u0438\u0447\u0438\u043d\u0443 \u043f\u043e\u0434\u0430\u0447\u0438 \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438, \u043b\u0438\u0431\u043e \u0437\u0430\u0433\u0440\u0443\u0437\u0438\u0442\u0435 \u043f\u0438\u0441\u044c\u043c\u043e \u0441 \u043e\u0431\u044a\u044f\u0441\u043d\u0435\u043d\u0438\u044f\u043c\u0438. \u041a \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438 \u043f\u043e \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044e \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432 \u0441\u043b\u0435\u0434\u0443\u0435\u0442 \u043f\u0440\u0438\u043b\u043e\u0436\u0438\u0442\u044c \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u044e\u0449\u0443\u044e \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u0430\u0446\u0438\u044e, \u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, Explanation of Benefits (\u0420\u0430\u0441\u0448\u0438\u0444\u0440\u043e\u0432\u043a\u0443 \u043b\u044c\u0433\u043e\u0442, EOB) \u0438\u043b\u0438 \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0435\u043d\u0438\u0435 \u043e\u043f\u043b\u0430\u0442\u044b.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/212296895694070?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"> <i class=\"fas fa-align-left\"><\/i> <span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#187;4.27.6&#8243; _module_preset=&#187;default&#187; background_color=&#187;#ffffff&#187; custom_padding=&#187;15px|15px|15px|15px|false|false&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\"><span style=\"color: #582c82;\">Overpayment Appeal Form (\u0424\u043e\u0440\u043c\u0430 \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438 \u0432 \u0441\u0432\u044f\u0437\u0438 \u0441 \u043f\u0435\u0440\u0435\u043f\u043b\u0430\u0442\u043e\u0439)<\/span><\/h5>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u0434\u0430\u0442\u044c \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u044e \u0432 \u0441\u0432\u044f\u0437\u0438 \u0441 \u043f\u0435\u0440\u0435\u043f\u043b\u0430\u0442\u043e\u0439 \u043e\u0442 Carewell SEIU\u00a0503.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/241055798317059?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"><i class=\"fas fa-align-left\"><\/i><span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#187;off|off|off&#187; module_id=&#187;hcamilitaryanchor&#187; _builder_version=&#187;4.27.6&#8243; custom_margin=&#187;25px||||false|false&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h2>Healthcare Cost Assistance (\u041a\u043e\u043c\u043f\u0435\u043d\u0441\u0430\u0446\u0438\u044f \u043e\u043f\u043b\u0430\u0442\u044b \u0443\u0441\u043b\u0443\u0433 \u0437\u0434\u0440\u0430\u0432\u043e\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u044f)<\/h2>\n<h3>\u041b\u044c\u0433\u043e\u0442\u044b, \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u044b\u0435 \u0441 \u0432\u043e\u0435\u043d\u043d\u043e\u0439 \u0441\u043b\u0443\u0436\u0431\u043e\u0439<\/h3>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner _builder_version=&#187;4.27.6&#8243; custom_margin=&#187;15px||||false|false&#187; custom_padding=&#187;3px||2px||false|false&#187; hover_enabled=&#187;0&#8243; global_colors_info=&#187;{}&#187; sticky_enabled=&#187;0&#8243;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.27.6&#8243; hover_enabled=&#187;0&#8243; global_colors_info=&#187;{}&#187; sticky_enabled=&#187;0&#8243;][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.27.6&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;||0px||false|false&#187; custom_padding=&#187;15px|15px|25px|15px|false|true&#187; hover_enabled=&#187;0&#8243; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; locked=&#187;off&#187; global_colors_info=&#187;{}&#187; sticky_enabled=&#187;0&#8243;]<\/p>\n<h5 style=\"text-align: left;\">Military Connected Benefits Healthcare Cost Assistance Benefits Request Form (\u0424\u043e\u0440\u043c\u0430 \u0437\u0430\u043f\u0440\u043e\u0441\u0430 \u043b\u044c\u0433\u043e\u0442 Healthcare Cost Assistance (\u041a\u043e\u043c\u043f\u0435\u043d\u0441\u0430\u0446\u0438\u044f \u043e\u043f\u043b\u0430\u0442\u044b \u0443\u0441\u043b\u0443\u0433 \u0437\u0434\u0440\u0430\u0432\u043e\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u044f) \u0434\u043b\u044f \u043b\u044c\u0433\u043e\u0442, \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u044b\u0445 \u0441 \u0432\u043e\u0435\u043d\u043d\u043e\u0439 \u0441\u043b\u0443\u0436\u0431\u043e\u0439)<\/h5>\n<p data-pm-slice=\"1 1 []\">\u0412\u043e\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0439\u0442\u0435\u0441\u044c \u044d\u0442\u043e\u0439 \u0444\u043e\u0440\u043c\u043e\u0439 \u0434\u043b\u044f \u043f\u043e\u0434\u0430\u0447\u0438 \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u044b\u0445 \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u043e\u0432, \u0447\u0442\u043e\u0431\u044b \u0437\u0430\u043f\u0440\u043e\u0441\u0438\u0442\u044c Healthcare Cost Assistance (\u041a\u043e\u043c\u043f\u0435\u043d\u0441\u0430\u0446\u0438\u044e \u043e\u043f\u043b\u0430\u0442\u044b \u0443\u0441\u043b\u0443\u0433 \u0437\u0434\u0440\u0430\u0432\u043e\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u044f) \u043f\u043e \u043f\u043b\u0430\u043d\u0430\u043c VA Benefits, CHAMPVA \u0438\u043b\u0438 TRICARE \u0438 \u043f\u043e\u043b\u0443\u0447\u0430\u0442\u044c \u0441\u0440\u0435\u0434\u0441\u0442\u0432\u0430 \u043d\u0430 \u043f\u043e\u043a\u0440\u044b\u0442\u0438\u0435 \u0441\u0430\u043c\u043e\u0441\u0442\u043e\u044f\u0442\u0435\u043b\u044c\u043d\u043e \u043e\u043f\u043b\u0430\u0447\u0435\u043d\u043d\u044b\u0445 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u0445 \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/260366959115868\" target=\"_blank\" rel=\"noopener noreferrer\"><i class=\"fas fa-align-left\"><\/i><span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><span style=\"text-decoration: underline;\"><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><\/span><\/p>\n<p><span style=\"text-decoration: underline;\"><\/span><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#187;4.27.6&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;-37px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; hover_enabled=&#187;0&#8243; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; locked=&#187;off&#187; global_colors_info=&#187;{}&#187; sticky_enabled=&#187;0&#8243;]<\/p>\n<h5 style=\"text-align: left;\">Eligibility and Reimbursement Appeal Form (\u0424\u043e\u0440\u043c\u0430 \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438 \u043f\u043e \u0432\u043e\u043f\u0440\u043e\u0441\u0430\u043c \u043f\u0440\u0430\u0432\u043e\u043c\u043e\u0447\u043d\u043e\u0441\u0442\u0438 \u0438 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044f \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432)<\/h5>\n<p>\u0418\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0439\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443 \u0438 \u043b\u0438\u0431\u043e \u0437\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u043f\u043e\u043b\u0435, \u043e\u0431\u044a\u044f\u0441\u043d\u044f\u044e\u0449\u0435\u0435 \u043f\u0440\u0438\u0447\u0438\u043d\u0443 \u043f\u043e\u0434\u0430\u0447\u0438 \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438, \u043b\u0438\u0431\u043e \u0437\u0430\u0433\u0440\u0443\u0437\u0438\u0442\u0435 \u043f\u0438\u0441\u044c\u043c\u043e \u0441 \u043e\u0431\u044a\u044f\u0441\u043d\u0435\u043d\u0438\u044f\u043c\u0438. \u041a \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438 \u043f\u043e \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044e \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432 \u0441\u043b\u0435\u0434\u0443\u0435\u0442 \u043f\u0440\u0438\u043b\u043e\u0436\u0438\u0442\u044c \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u044e\u0449\u0443\u044e \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u0430\u0446\u0438\u044e, \u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, Explanation of Benefits (\u0420\u0430\u0441\u0448\u0438\u0444\u0440\u043e\u0432\u043a\u0443 \u043b\u044c\u0433\u043e\u0442, EOB) \u0438\u043b\u0438 \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0435\u043d\u0438\u0435 \u043e\u043f\u043b\u0430\u0442\u044b.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/212296895694070?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"> <i class=\"fas fa-align-left\"><\/i> <span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p><span style=\"text-decoration: underline;\"><\/span><\/p>\n<p>[\/et_pb_text][et_pb_code disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.27.6&#8243; _module_preset=&#187;default&#187; background_color=&#187;#ffffff&#187; custom_margin=&#187;20px||0px||false|false&#187; custom_padding=&#187;20px|15px|20px|15px|true|true&#187; hover_enabled=&#187;0&#8243; global_colors_info=&#187;{}&#187; sticky_enabled=&#187;0&#8243;][et_pb_section global_module=\"301873\"][\/et_pb_section][\/et_pb_code][et_pb_text _builder_version=&#187;4.27.6&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;25px|15px|25px|15px|true|true&#187; hover_enabled=&#187;0&#8243; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; global_colors_info=&#187;{}&#187; sticky_enabled=&#187;0&#8243;]<\/p>\n<h5 style=\"text-align: left;\">Consent to Release Information Form (\u0424\u043e\u0440\u043c\u0430 \u0441\u043e\u0433\u043b\u0430\u0441\u0438\u044f \u043d\u0430 \u043f\u0443\u0431\u043b\u0438\u043a\u0430\u0446\u0438\u044e \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u0438)<\/h5>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u043e \u043f\u043e\u043b\u0435, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u0440\u0443\u0447\u0438\u0442\u044c \u0434\u043e\u0432\u0435\u0440\u0435\u043d\u043d\u043e\u043c\u0443 \u0447\u043b\u0435\u043d\u0443 \u0441\u0435\u043c\u044c\u0438 \u0438\u043b\u0438 \u0434\u0440\u0443\u0433\u0443 \u0434\u0435\u043b\u0430\u0442\u044c \u0437\u0430\u043f\u0440\u043e\u0441\u044b, \u043d\u0430\u0437\u043d\u0430\u0447\u0430\u0442\u044c \u0432\u0441\u0442\u0440\u0435\u0447\u0438 \u0438\u043b\u0438 \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0430\u0442\u044c \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044e \u043e\u0442 \u0432\u0430\u0448\u0435\u0433\u043e \u0438\u043c\u0435\u043d\u0438.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/212285476973063?language=ru\" target=\"_blank\" rel=\"noopener\"> <i class=\"fas fa-align-left\"><\/i> <span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#187;4.27.6&#8243; _module_preset=&#187;default&#187; background_color=&#187;#ffffff&#187; custom_margin=&#187;-37px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|false|false&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\"><span style=\"color: #582c82;\">Overpayment Appeal Form (\u0424\u043e\u0440\u043c\u0430 \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438 \u0432 \u0441\u0432\u044f\u0437\u0438 \u0441 \u043f\u0435\u0440\u0435\u043f\u043b\u0430\u0442\u043e\u0439)<\/span><\/h5>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u0434\u0430\u0442\u044c \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u044e \u0432 \u0441\u0432\u044f\u0437\u0438 \u0441 \u043f\u0435\u0440\u0435\u043f\u043b\u0430\u0442\u043e\u0439 \u043e\u0442 Carewell SEIU\u00a0503.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/241055798317059?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"><i class=\"fas fa-align-left\"><\/i><span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text module_id=&#187;ptoanchor&#187; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h2>\u041e\u043f\u043b\u0430\u0447\u0438\u0432\u0430\u0435\u043c\u044b\u0435 \u043e\u0442\u0433\u0443\u043b\u044b\u00a0<\/h2>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner use_custom_gutter=&#187;on&#187; gutter_width=&#187;1&#8243; _builder_version=&#187;4.16&#8243; custom_margin=&#187;0px||0px||false|false&#187; custom_padding=&#187;0px||0px||true|false&#187; global_colors_info=&#187;{}&#187;][et_pb_column_inner saved_specialty_column_type=&#187;3_4&#8243; _builder_version=&#187;4.16&#8243; global_colors_info=&#187;{}&#187;][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.23.1&#8243; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">PTO Benefits Request Packet (\u041f\u0430\u043a\u0435\u0442 \u0434\u043e\u043a\u0443\u043c\u0435\u043d\u0442\u043e\u0432 \u0434\u043b\u044f \u0437\u0430\u043f\u0440\u043e\u0441\u0430 \u043e\u043f\u043b\u0430\u0447\u0438\u0432\u0430\u0435\u043c\u044b\u0445 \u043e\u0442\u0433\u0443\u043b\u043e\u0432)<\/h5>\n<p>\u0415\u0441\u043b\u0438 \u0443 \u0432\u0430\u0441 \u043d\u0430\u043a\u043e\u043f\u0438\u043b\u043e\u0441\u044c 8 \u0438\u043b\u0438 \u0431\u043e\u043b\u0435\u0435 \u0447\u0430\u0441\u043e\u0432 PTO, \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0439\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443 \u0434\u043b\u044f \u0437\u0430\u043f\u0440\u043e\u0441\u0430 \u0432\u044b\u043f\u043b\u0430\u0442 \u043f\u043e \u043b\u044c\u0433\u043e\u0442\u0430\u043c PTO.<br \/>[et_pb_section global_module=\"274306\"][\/et_pb_section]<\/p>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.23.1&#8243; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Form W-9 (\u0424\u043e\u0440\u043c\u0430 W-9)<\/h5>\n<p>\u0414\u043b\u044f \u043f\u043e\u043b\u0443\u0447\u0435\u043d\u0438\u044f \u043b\u044c\u0433\u043e\u0442 PTO \u0432\u0430\u043c \u043d\u0443\u0436\u043d\u043e \u0441\u043d\u0430\u0447\u0430\u043b\u0430 \u043e\u0442\u043f\u0440\u0430\u0432\u0438\u0442\u044c \u043d\u0430\u043c \u0437\u0430\u043f\u043e\u043b\u043d\u0435\u043d\u043d\u0443\u044e \u0438 \u043f\u043e\u0434\u043f\u0438\u0441\u0430\u043d\u043d\u0443\u044e Form W-9 (\u0424\u043e\u0440\u043c\u0443 W-9), \u0435\u0441\u043b\u0438 \u0432\u044b \u0435\u0449\u0435 \u044d\u0442\u043e\u0433\u043e \u043d\u0435 \u0441\u0434\u0435\u043b\u0430\u043b\u0438. \u041e\u0431\u0440\u0430\u0442\u0438\u0442\u0435 \u0432\u043d\u0438\u043c\u0430\u043d\u0438\u0435: \u0441\u0443\u043c\u043c\u0430 \u043b\u044c\u0433\u043e\u0442\u044b PTO \u0441\u0447\u0438\u0442\u0430\u0435\u0442\u0441\u044f \u043d\u0430\u043b\u043e\u0433\u043e\u043e\u0431\u043b\u0430\u0433\u0430\u0435\u043c\u044b\u043c \u0434\u043e\u0445\u043e\u0434\u043e\u043c.<br \/>\n[et_pb_section global_module=\"274307\"][\/et_pb_section][\/et_pb_text][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.23.1&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Direct Deposit Form (\u0424\u043e\u0440\u043c\u0430 \u043f\u0440\u044f\u043c\u043e\u0433\u043e \u043f\u0435\u0440\u0435\u0432\u043e\u0434\u0430 \u043d\u0430 \u0441\u0447\u0435\u0442)<\/h5>\n<p>\u0417\u0430\u0440\u0435\u0433\u0438\u0441\u0442\u0440\u0438\u0440\u0443\u0439\u0442\u0435\u0441\u044c, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u043b\u0443\u0447\u0430\u0442\u044c \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044f \u0438 \u0432\u044b\u043f\u043b\u0430\u0442\u044b \u043f\u043e \u043b\u044c\u0433\u043e\u0442\u0435 PTO \u043f\u0440\u044f\u043c\u044b\u043c \u043f\u0435\u0440\u0435\u0432\u043e\u0434\u043e\u043c \u043d\u0430 \u0441\u0447\u0435\u0442. \u042d\u0442\u043e \u0441\u0430\u043c\u044b\u0439 \u043f\u0440\u043e\u0441\u0442\u043e\u0439 \u0438 \u0431\u044b\u0441\u0442\u0440\u044b\u0439 \u0441\u043f\u043e\u0441\u043e\u0431 \u043f\u043e\u043b\u0443\u0447\u0435\u043d\u0438\u044f \u0432\u044b\u043f\u043b\u0430\u0442\u044b. <strong>\u0412\u044b \u0434\u043e\u043b\u0436\u043d\u044b \u043f\u0440\u0438\u043b\u043e\u0436\u0438\u0442\u044c \u043a\u043e\u043f\u0438\u044e \u0430\u043d\u043d\u0443\u043b\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0433\u043e \u0447\u0435\u043a\u0430, \u043f\u0438\u0441\u044c\u043c\u043e \u0438\u0437 \u0431\u0430\u043d\u043a\u0430 \u0438\u043b\u0438 \u0432\u044b\u043f\u0438\u0441\u043a\u0443 \u0438\u0437 \u0431\u0430\u043d\u043a\u0430.<\/strong><br \/>\n[et_pb_section global_module=\"274302\"][\/et_pb_section][\/et_pb_text][et_pb_text disabled_on=&#187;off|off|off&#187; _builder_version=&#187;4.23.1&#8243; text_line_height=&#187;1.5em&#187; background_color=&#187;#ffffff&#187; max_width=&#187;1000px&#187; module_alignment=&#187;center&#187; height=&#187;100%&#187; custom_margin=&#187;0px||||false|false&#187; custom_padding=&#187;15px|15px|15px|15px|true|true&#187; border_width_all=&#187;1px&#187; border_color_all=&#187;#f3f3f3&#8243; locked=&#187;off&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\">Designation of Beneficiary Form (\u0424\u043e\u0440\u043c\u0430 \u043d\u0430\u0437\u043d\u0430\u0447\u0435\u043d\u0438\u044f \u0431\u0435\u043d\u0435\u0444\u0438\u0446\u0438\u0430\u0440\u0430)<\/h5>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443, \u0435\u0441\u043b\u0438 \u0432\u044b \u0445\u043e\u0442\u0438\u0442\u0435 \u043d\u0430\u0437\u043d\u0430\u0447\u0438\u0442\u044c \u0447\u0435\u043b\u043e\u0432\u0435\u043a\u0430, \u043a\u043e\u0442\u043e\u0440\u044b\u0439 \u043f\u043e\u043b\u0443\u0447\u0438\u0442 \u0432\u0430\u0448\u0443 \u043d\u0435\u0432\u043e\u0441\u0442\u0440\u0435\u0431\u043e\u0432\u0430\u043d\u043d\u0443\u044e \u0432\u044b\u043f\u043b\u0430\u0442\u0443 \u043f\u043e \u043b\u044c\u0433\u043e\u0442\u0435 PTO \u0432 \u0441\u043b\u0443\u0447\u0430\u0435 \u0432\u0430\u0448\u0435\u0439 \u0441\u043c\u0435\u0440\u0442\u0438.<br \/>[et_pb_section global_module=\"274308\"][\/et_pb_section]<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#187;4.27.4&#8243; _module_preset=&#187;default&#187; background_color=&#187;#ffffff&#187; custom_padding=&#187;15px|15px|15px|15px|false|false&#187; global_colors_info=&#187;{}&#187;]<\/p>\n<h5 style=\"text-align: left;\"><span style=\"color: #582c82;\">Overpayment Appeal Form (\u0424\u043e\u0440\u043c\u0430 \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u0438 \u0432 \u0441\u0432\u044f\u0437\u0438 \u0441 \u043f\u0435\u0440\u0435\u043f\u043b\u0430\u0442\u043e\u0439)<\/span><\/h5>\n<p>\u0417\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u0435 \u044d\u0442\u0443 \u0444\u043e\u0440\u043c\u0443, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u0434\u0430\u0442\u044c \u0430\u043f\u0435\u043b\u043b\u044f\u0446\u0438\u044e \u0432 \u0441\u0432\u044f\u0437\u0438 \u0441 \u043f\u0435\u0440\u0435\u043f\u043b\u0430\u0442\u043e\u0439 \u043e\u0442 Carewell SEIU\u00a0503.<\/p>\n<p><a class=\"noUnderline\" href=\"https:\/\/risepartnership.jotform.com\/241055798317059?language=ru\" target=\"_blank\" rel=\"noopener noreferrer\"><i class=\"fas fa-align-left\"><\/i><span style=\"text-decoration: underline;\">\u041f\u0435\u0440\u0435\u0439\u0442\u0438 \u043a \u0444\u043e\u0440\u043c\u0435<\/span><\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u041d\u0430\u0439\u0434\u0438\u0442\u0435 \u0444\u043e\u0440\u043c\u044b, \u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u0432\u0430\u043c \u043c\u043e\u0436\u0435\u0442 \u043f\u043e\u043d\u0430\u0434\u043e\u0431\u0438\u0442\u044c\u0441\u044f \u0437\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u044c \u0434\u043b\u044f \u0440\u0435\u0433\u0438\u0441\u0442\u0440\u0430\u0446\u0438\u0438 \u043f\u0440\u0438 \u043f\u043e\u043b\u0443\u0447\u0435\u043d\u0438\u0438 \u043b\u044c\u0433\u043e\u0442 \u0438 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044f \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432 \u043e\u0442 Carewell SEIU 503, \u0430 \u0442\u0430\u043a\u0436\u0435 \u0434\u043b\u044f \u0437\u0430\u043f\u0440\u043e\u0441\u043e\u0432 \u043d\u0430 PTO \u0438 \u043c\u043d\u043e\u0433\u043e\u0435 \u0434\u0440\u0443\u0433\u043e\u0435.<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":221686,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-221753","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u0424\u043e\u0440\u043c\u044b \u0440\u0435\u0433\u0438\u0441\u0442\u0440\u0430\u0446\u0438\u0438 \u0438 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044f \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432 - Carewell SEIU 503<\/title>\n<meta name=\"description\" content=\"\u041d\u0430\u0439\u0434\u0438\u0442\u0435 \u0444\u043e\u0440\u043c\u044b, \u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u0432\u0430\u043c \u043c\u043e\u0436\u0435\u0442 \u043f\u043e\u043d\u0430\u0434\u043e\u0431\u0438\u0442\u044c\u0441\u044f \u0437\u0430\u043f\u043e\u043b\u043d\u0438\u0442\u044c \u0434\u043b\u044f \u0440\u0435\u0433\u0438\u0441\u0442\u0440\u0430\u0446\u0438\u0438 \u043f\u0440\u0438 \u043f\u043e\u043b\u0443\u0447\u0435\u043d\u0438\u0438 \u043b\u044c\u0433\u043e\u0442 \u0438 \u0432\u043e\u0437\u043c\u0435\u0449\u0435\u043d\u0438\u044f \u0440\u0430\u0441\u0445\u043e\u0434\u043e\u0432 \u043e\u0442 Carewell SEIU 503, \u0430 \u0442\u0430\u043a\u0436\u0435 \u0434\u043b\u044f \u0437\u0430\u043f\u0440\u043e\u0441\u043e\u0432 \u043d\u0430 PTO \u0438 \u043c\u043d\u043e\u0433\u043e\u0435 \u0434\u0440\u0443\u0433\u043e\u0435.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.carewellseiu503.org\/ru\/resources\/forms\/\" \/>\n<meta property=\"og:locale\" content=\"ru_RU\" \/>\n<meta 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