Individual Coverage HRA
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Fulton County, GA (13121)
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Employer Contribution
Your employer reimburses this toward your monthly premium. Plan prices below show your actual cost.
Available Plans
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Selected Plan
Final Step
Complete your application
Everything below is prefilled from your benefits record. Review it, agree to your plan's terms, and sign.
Your details
Correct anything that is out of date. Changes here are saved back to your benefits record.
Dependents on this plan
RequiredThese come from your Decisely benefits selections and are added to your coverage.
Qualifying Life Event
Your ICHRA offer letter is attached for you. There is nothing to upload.
A few more questions
needs a little more before they can accept your application.
Sign your application
Signing today,
Accept your plan's agreements and sign above to continue.
We send your application straight to the carrier. You will pay your first premium on their secure page.
Application submitted
Your application is with the carrier. We will update this page the moment they confirm your coverage.
Carriers confirm coverage in their own time. Nothing is active until they do.
One last step
Pay your first premium
Your coverage activates once the carrier receives your first payment. Use the benefits card below.
Your benefits card
4111 1111 1111 4471
You're about to leave Decisely
Payment is handled by , not by Decisely. You'll finish on their secure page:
You can come back and pay from your benefits page at any time.
This carrier finishes enrollment on their own system. Your details are already filled in.
Complete your individual medical plan enrollmentThis carrier will ask you to verify your ICHRA offer. Download your offer letter and upload it when prompted.
Download your ICHRA Offer Letter