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Employer Instruction Guide

How to File a Claim (PDF)

Claim Forms

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Payroll File:

  • Any format is acceptable, but the prefered format is MS Excel, comma delimited
  • File must include the following data values per insured employee:
    1. SSN
    2. Name
    3. Deduction Amount
    4. Beginning Payroll Date
    5. Ending Payroll Date

Forwarding Payroll Files

Options:

  1. Email to Frank Singh at: fsingh@asrmllc.com
  2. File Transfer Protocol (FTP):
    Directions and logon information will be provided.


     

Premium Payment:

  • Premium deductions must be sent simultaneously with each Payroll File
  • Premium payment must match total deduction amount on Payroll File

 

 

 

 

 

Forwarding Premium Payment

Options:

  1. Via Electronic Funds Transfer (EFT/Wire):
    Account information will be provided.
     
  2. Mail your check made payable to ASRM to:

    ASRM
    Premium Payment Dept.
    505 S. Lenola Road
    Suite 231
    Moorestown, NJ 08057
     
     

Enrollment Forms & Change Forms:

  • Check to see if completed in entirety and signed/dated
  • Make copies of all forms for your files
  • Bundle forms as appropriate

     

Forwarding All Forms:

Mail to:

ValuBenefits Support
505 S. Lenola Road
Suite 231
Moorestown, NJ 08057
 

Reorder Materials:

  • Enrollment Forms
  • Employee Brochures
  • Change Forms
  • SPDs

     

Contact:

Myles Grady
Manager, Agent & Employer Services
1-800-359-7475 x241
mgrady@asrmllc.com