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You can find the Health Education Reimbursement -CIGNA under the “Forms” tab of the website website or you may call Allegiant Care at (603) 669-4771 or 1-800-258-9732 Ext. 229 and request the form.

NOTE: The form cannot be completed online. You must print the form, and mail it to Allegiant Care; Attn: Health Promotion Department; P.O. Box 4604; Manchester, NH 03108.