HIPPA authorization form Claim forms already include HIPAA authorization, but you can find a separate form here. Download
Continuing disability claim Submit additional information for your on-going disability claim. Download
Critical illness claim You can file a critical illness claim if you or a dependent on your policy has been diagnosed with a covered critical illness. Download
Dental fee schedule claim Download a dental fee schedule claim form to submit a claim to HealthPlan Services. Download
Vision fee schedule claim Download a vision fee schedule claim form to submit a claim to HealthPlan Services. Download