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Benefit and Plan Information
Self Service

If you are a customer that is 18 or older, but are not the primary, please log in or create a login here.
The Federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that dependents over the age of 18 must be able to privately access healthcare information.

Locate a doctor, clinic or hospital
that is in your network

Claim Forms

Check Your Benefits

HIPAA Authorization Form

Insured Self Claim Submission Forms

Simply log in to view a copy of your
Plan Benefits Page

HIPAA Form for the Authorization to Disclose Protected Health Information

Please make sure to read your certificate of insurance completely and thoroughly!

Note: Benefits and Eligibility can not be guaranteed over the phone. Services are subject to the plan limitations and exclusions at the time claims are received.