Helpful Documents and Forms
Use our handy filters to find the right form for your needs or choose one listed below.
Helpful Documents
All Forms
Wellness Reimbursement Form ($240 annually)
Healthy Living Instructions ($50 gift card)
Authorization to Release Health Information Form
Dental/Vision Change Form
Member Services
We’re here to help. Call us at 855-442-9900 (TTY: 711) to get clear, timely answers from a team of Health Benefits Specialists trained to answer even the toughest questions. Or let one of our Member Advocates help you find a doctor.