Demographics Documents
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Demographics Documents
| Adult Dependent Authorization Form | This form is for use by an adult Health Plan participant who is eligible as a dependent and who wishes to have all of his/her Health Plan mail (including Explanations of Benefits and other claims information) sent to and checks made out to his/her parent or spouse who is the primary Plan participant. |
| Change of Address Form | Please file the Change of Address form with the Plans whenever you move. |
