Notice
Monday, May 25: Our offices will be closed in observance of Memorial Day. Warm wishes to you and your family as we honor and remember the brave men and women who sacrifice in service of our nation.
May 22 - September 4: Customer Service hours are Monday through Thursday 8:00 AM to 6:30 PM EDT and Friday 8:00 AM to 1:00 PM EDT.
To view benefit information and claim status at any time, you can sign into your account or use our Interactive Voice Response System 24/7 at (800-452-9310).
Standard Forms for Brokers
Easily access and download the standard forms and applications you need.
Authorization Form Granting Access to PHI - Insured Clients (PDF, 3 pages, 52kb)
Authorization Form Granting Access to PHI - Self Funded Clients (PDF, 3 pages, 51kb)