Liaison Contacts, Census and Locations Update Form

Liaison Contacts, Census and Locations Update Form

Please complete this form to update your census number at any time. We request that you update us when the number provided to EAP does not reflect your covered employee base. Please provide updated census 14 days prior to the end of each quarter to ensure accurate and timely billing. All updates received after this date will be reflected on the following invoice.

Liaison Contacts, Census and Location Update Form