Benefits Account Login

 Contact us

Eagle Ridge
PO Box 2640
Sioux City, IA 51106
Call Us Now: 800-301-6692
Call Us Now: 712-274-6725
Fax: 712-274-6726

Important Forms

 Forms & Documents

Claim Form

Click to download Claim Form

DCR Form

Click to download Dependent Care Reimbursement Form

Free PDF Editor

This simple form editor can help you digitally complete and sign the form so you can email back to us.


Download the form of choice, click on Free PDF Editor, Drag and Drop form file you just downloaded. From there you can edit, sign digitally and save. Once saved email a copy to claims@eagleridgeservices.com or print and return to our office via Mail or Fax.

Mail Address: Eagle Ridge PO Box 2640 , Sioux City, IA 51106

Fax: 712-274-6726

Email: claims@eagleridgeservices.com

Any Questions Please Call Us: 800-301-6692 or 712-274-6725