You should notify Allegiant Care within 30 days of the Qualifying Event using the Dependent Termination Form.  If you have questions about completing the form, please contact Allegiant Care at 1-800-248-9732.

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Toll Free: 800.258.9732
Local: 603.669.4771
Fax: 603.666.4477

Allegiant Care
51 Goffstown Road
P.O. Box 4604
Manchester, NH 03108

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