FMLA & LWOP Premiums Dues
• Notice to Term Benefits Due to Non-Payment
• Life Insurance Premium Payment Transmittal Form for Agencies
• FMLA & LWOP Self-Pay Transmittal Form (State)
• FMLA & LWOP Self-Pay Transmital Form (LPB)
• Premium Due-FMLA initial Notice
• Premium Due-FMLA Second Notice
• Premiums Due-FMLA Final Notice
• Premiums Due-LWOP Initial Notice
• Premiums Due-LWOP Second Notice
• Premiums Due-LWOP Final Notice
CONTACT
Location
Erisa Administrative Services, Inc. Office
1200 San Pedro Drive NE
Albuquerque, NM 87110
Phone
Albuquerque: (505) 244-6000
Toll Free: (855) 618-1800
Fax: (505) 244-6009
Business Hours
Monday - Friday: 8:00 AM - 5:00 PM
Saturday - Sunday: Closed
Erisa is closed for New Year
Martin Luther King Day, Memorial Day
Independence Day, Labor Day
Thanksgiving (two days) and
Christmas (two days)