Everything you need all in one place.
Get the forms and resources you need for things like Enrollment, HRA/FSA reimbursement, Prior Authorization and more. You can easily find and download what you need to make sure your account stays up to date.
If you need to appeal a denied benefits request, use this form to start the process.
If you have a Flexible Spending Account, use this form to submit your expenses to be reimbursed.
If you have a Flexible Spending Account, use this form to submit your dependent care expenses to be reimbursed.
Complete this form to receive funds from your Healthcare Reimbursement Agreement account to cover healthcare costs
Complete the form to allow your provider or other party to release your health information
If you’ve had a life change event, use this form to update your status, add or remove dependents, and more.
If one of your dependents is a student over the age of 18, use this form to verify their dependent eligibility.
We’re here to answer your questions or get your the information you need. Contact us using the number found on the back of your ID card.