P.O. Box 13128
Sacramento, CA 95813-3128
Toll Free Phone: 800.562.9383
Phone 800.562.9383 Fax 916.921.3383
Integrity Administrators, Inc.
EXCELLENCE IN THIRD PARTY ADMINISTRATION
This form is to be used by Members to:
1) request COBRA Information
2) obtain HSA/HRA balances and rollover amounts
3) talk to a service representative
Please remember to:
enter your phone number plus best time to call.