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Documents and Forms

We’ve made it easy to find and download the most common health plan documents in one place, so you can get what you need.

Below are important 22 Health member documents and forms:

Authorized Representative Form

Continuity of Care Request Form 

Email Opt-Out Form

Grievance and Appeals Form

Member Handbook

Member Medical Claim Reimbursement Request Form

 Privacy Policy

Summary of Benefits and Coverage (SBC)

Schedule of Benefits (SoB)

Transparency in Coverage

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