Forms and Applications
Other Forms
State Specific Group Application Forms
Claim Form
Claims Appeal Procedures
Group Authorization Form
Broker Appointment Form
TruAssure Payment Authorization
HIPAA Notice of Privacy Practice and Rights
Authorization for Release of Information
Authorization for Release of Information (Español)
Privacy Notice (Gramm-Leach-Bliley)
Non-Discrimination Notice
Non-Discrimination Notice (Español)
Brochures and Flyers
Broker Compensation Program
Fully Insured Bonus Program
Municipality/School District Bonus Program
Network Savings for Group Members
Extra Maximum Carryover
Dental Benefits Plan Management Report Overview
TruAssure Virtual Visits
Legal and Identity Theft Protection
Your Hearing Health Discount Program