CHS Life
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Copyright 2006-2010, all rights reserved. CHS Life a Limited Liability Company
Phone: 203.772.9224
Preventative Information
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Health Savings Accounts (PDF)
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Deferment Information
Assistance Program
A membership deferment is a period of time during which payments and accumulation of units of care and / or office visits are postponed. To obtain a membership deferment, you must submit a deferment form to the Provider. It is important to continue to make payments until your deferment is processed. Submitting a request does not place you in deferment status. Deferment forms are available on the web site www.CHSLife.com or at the Provider’s office.
Accumulated units of care and / or office visits are not refundable at any time during the course of your membership or upon termination of the membership. All accumulated units of care and / or office visits expire upon termination of this agreement and cannot be used beyond the termination date by Client or household member.
Also, if you have multiple memberships to different Provider offices, and wish to cancel those memberships, then you must make a request for cancellation to each Provider office. Only a written letter from your Provider is sufficient notice that your membership has been cancelled.
Membership Cancellation
Deferment Information & Forms...
Cancellation Form (PDF)