Submit Claim

Submit Claim by Mail To:

Mail Expense Reimbursement Form and Supporting Documents To:

Benefit Administrators of California
MRA Administrator
5205 Prospect Rd, Suite 135-240
San Jose,
California 95129
help@baoca.net

Submit Claim via Email:

Email Expense Reimbursement Form and Supporting Documents to: help@baoca.net

Submit Claim via FAX

Fax Expense Reimbursement Form and Supporting Documents To: (415) 675-5563