Member Forms

For our member's convenience we have provided online access to our Extended Health and Dental claim forms.

Please choose the type of claim form you are looking for.

• Extended Health Care Claim Forms
  
• Dental Claim Forms
  
• Health Spending Account Claim Forms
  
• Member Direct Deposit Registration
  Register online for direct deposit, as well as for electronic explanation of benefits, on CARESnet
  
• Individual Life and Disability Claim Forms
  
• Individual Travel Plan Claim Form
  
• Individual Plan Pre-Authorized Debit Form
  

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