Health Plus Forms

Please select and download the required forms.

All Health Plus Plans 
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

Health Plus Life Insurance Forms
Enrollment form
Disenrollment form

Health Plus Dental Insurance

Enrollment Form 

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