Leave of Absence (LOA) Premium Billing

Thank you for choosing to pay your LOA Premium Bill online. Your bill covers payroll deductions missed during your current and/or recent Leave of Absence.

If you have inquiries regarding your bill, please contact TMC BenAdmin at (520) 324-5275, Option 4 to speak to a BenAdmin team member. You may also send an inquiry electronically through our "Ask Benefits" system located on our Benefits Homepage via e-connection. BenAdmin team members are available Monday through Friday from 7:30 a.m. – 5 p.m. to answer your questions.

Correspondence regarding your bill should be mailed to the following address:

TMC BenAdmin
c/o Human Resources
PO Box 32170
Tucson, AZ 85751

* denotes a required field
Employee Information
First Name * Middle Initial
Last Name * Suffix (Jr., III, etc.)
Address 1 *
Address 2
City * State *
Zip *
Primary Phone *
Email Address *
Account Information
Employee ID *
Six digits long, include leading 0's (ex: 001234)
Payment Amount *
Billing Information
Is the credit card billing address the same as the attendee's address? Yes  No
Address 1
Address 2
City State

Card Type
Name on Card *
Card Number *
Expiration Date **
Card Verification Value *

* denotes a required field