These forms are in PDF format and can be printed from your printer. However, it requires Acrobat Reader. Click the link below for the form that you wish to print. If you do not see the document, click here to get Acrobat Reader.
Enrollment/Change Form 2012 - click here
Spouse - COB Questionnaire - click here
BHP Enrollment Instructions for Medical and Dental Plan - click here
Tobacco Free Credit 2012 - click here
Health Evaluation Participation Credit 2013 - click here
Medical Claim Form - click here
Dental Claim Form - click here
Understanding Your ID Card - click here
Understanding Your Explanation of Benefits (EOB) - click here
HealthSpan Personal Health Coach - click here
Express Scripts Home Delivery Form - click here
Express Scripts Prescription Drug Claim Form - click here
Express Scripts Preferred Drug List Effective January 1, 2012 - click here
Express Scripts Maintenance Medication List - click here