Cooper Benefit Consultants, Inc.

If you need to find out if a doctor is in your network, provide the information requested below. Or, if you would like to know the names of doctors in your area we can get that information for you . Please be as complete as possible and we will get back with you by the end of the business day.

CLICK HERE if you would like to navigate through the health care provider directories yourself. *REQUIRED

*Employee First Name:

*Employee Last Name:

*Employee Social Security Number:

*Employee Daytime Phone Number:

*Email Address:

Address:

City:

State:

*Zip:

*Employer Name:

Doctor or Hospital Name (If Applicable):

*Doctors Specialty (If Applicable):

*Desired Driving Distance:

Today's Date:

Questions and Comments: