Bank Details

Welcome ,

Please enter your credential:

Date of Birth(mm/dd/yyyy)
Last 4 digit of your SSN:

We manage the deductible reimbursement program for your employer .

You or a family member has received medical care recently. A portion of the out pocket is eligible for reimbursement.

All reimbursements are sent to you via direct deposit.

During registration, you had the option of populating your bank information on our Coalition Health web portal then or updating when the time came for you to receive funds.

Bank Name*
Account Number*
Account Holder Name*
Routing Number*
Account Type*

We highly encourage DIRECT DEPOSIT as it allows us to precisely control the speed of payment and the confirmation of your receipt of funds.

If you insist on a paper check via US POSTAL Service, be aware that these checks are released only once a month. You are required to confirm the mailing address that you have secure mail pick up from. Uncleared mailed checks are assessed a reissue fee of $25 if lost or expired. Please confirm or edit the address info below..

ADDRESS Street Address Apt/Suite #*
Zip*
City*
State*
County*
Mobile Number* (If you have no Mobile Number enter (000) 000-0000)
Personal Email Address* (If you have no email enter none@none)