E-Bill and EFT Sign Up Form
Continue to save with Starmark, sign up for e-bill and electronic funds transfer (EFT) and receive a discount in Administration fees.
If you are the benefits administrator for a company that has a group health plan administered by Starmark,
fill out the form below to sign up for e-bill
print and fill out the
EFT form
(PDF)
Group Name:
Group ID:
(i.e. SM12345A - no spaces)
Billing Contact Name:
Billing Contact Phone:
Billing Contact Email:
Note:
Fees do not apply to groups located in Colorado, Montana or Oklahoma.
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