2024년 발효일을 기준으로 당사 HRA 보너스 프로그램을 강화했습니다. 2024년 발효일을 기준으로 제출한 건강 위험 평가당 최대 $160를 받으세요. 이제 더 많은 리베이트 옵션이 있습니다. 자세한 내용을 보려면 아래 버튼을 클릭하세요.

Clever Care Event Request Form

Complete the form below to register your event. Be sure to submit your request at least seven (7) days prior to the start of your event. In order to ensure your request is actioned in a timely and appropriate manner, please provide as much detail as possible. 

For event changes or cancellations, please contact eventsubmission@ccmapd.com team at least 48 hours in advance. Be prepared to provide a list of beneficiaries that have RSVP’d and describe any outreach (if any) that has been done to inform them of the changes or cancellations.

New Event Registration Form
  • Requester Information
  • Agent Information
  • Location Information
  • Event Information

Requester Information

Provide us with information about yourself so we know who to contact for questions and updates.


Agent Information

Provide us with information about the agents that will be working the event. Please be sure to provide information for ALL agents at the event. Press the plus sign on the right to add more agents.


Event Location Information

Provide information about where the event will take place.


Event Information

Provide details about the event.


REMINDER: Light refreshments may be provided at sales events (e.g. cookies, biscuits, tea, juice, finger food). Meals are not permitted.

REMINDER: Keep a record of nominal gifts and raffle prizes (including recipient information). You may be asked to provide this information for compliance purposes.

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