Scott & White Health Plan

• Application packet
• Electronic Payment Options 
• Form to add dependents
  • except newborns. Please contact customer service to add a newborn (born within 60 days) so the appropriate information and forms may be sent to you.
• Form to disenroll
• Where to mail your forms
• Courtesy Roll/Change Plan Enrollment Application 

Health Plus Life Insurance Forms

• Life Insurance Enrollment form
• Life Insurance Disenrollment form

Health Plus Dental Insurance

• Dental Insurance Enrollment Form