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Member Documents

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Continuity of Care Form

Medical Claim Form - Fully Insured Plans (English)
Medical Claim Form - Fully Insured Plans (Spanish)
Medical Claim Form - Self-Funded Plans
Request to Establish Out-of-Area Address
Step Therapy
Step Therapy (Spanish)
Request to Renew Health Coverage - Disabled Dependents

Teladoc

Teladoc connects you 24/7/365 to a national network of doctors via web, phone or mobile app. Within minutes, a doctor will contact you ready to listen and resolve your minor issue. If medically necessary, a prescription will be sent to a pharmacy of your choice. It’s healthcare in the palm of your hands.

MedlinePlus

MedlinePlus is a free service offered by the U.S. National Library of Medicine under the National Institutes of Health. It provides free, easy to read health information and tools for all ages and stages of life. The information is available on demand in over 20 languages.

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