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- Instructions and form for adding 25-26 year olds on 7/1/10 Pages: 4Instructions and form for adding 25-26 year olds at 7/1/10 Special Enrollment.
- Administrative Policies Pages: 2Administrative procedures for enrolling new employees, changing policies, terminating policies, eligibility, COBRA, HIPAA, premium billing, etc., to keep your plan running smoothly.
- Anthem Dental Claim Form Pages: 2Use this form to file a dental claim with Anthem if you have the optional Dental plan and your dentist's office will not file a claim for you.
- Anthem Designation of Authorized Representative Form Pages: 1Use this form to authorize a person to have access to your personal claims information, such as an adult child.
- Anthem Domestic Partner Affidavit Pages: 1Use an Anthem Enrollment Application and this form to request coverage for your domestic partner.
- Anthem Effective Date Finder for Groups Pages: 7Use this tool to take the guesswork out of when ISMA/Anthem health insurance will begin for a new physician or employee.
- Anthem Employer Application for GroupsPages: 1
- Anthem Enrollment Application for Groups Pages: 4Physicians and Employees in Groups insured with ISMA/Anthem use this form to apply for new policies or to request changes to existing policies.
- Anthem Enrollment Application for Individuals Pages: 4Physicians and Employees insured with ISMA/Anthem as individuals use this form to apply for new policies or to request changes to existing policies.
- Anthem Medical Claim Form Pages: 3 Use this form to file a medical claim with Anthem if your provider's office will not file a claim for you.
- Anthem Worldwide Coverage Brochure Pages: 2Did you know your ISMA/Anthem policy provides benefits worldwide? Find more information in this helpful brochure.
- ExpressScripts New Patient Order Form Pages: 3Use this form if your ISMA/Anthem includes a 90-day prescription drug mail order option to place an order for a new prescription.
- ExpressScripts Prescription Drug Claim Form Pages: 2 Use this form to file a claim for a prescription you already purchased.
- Instructions for Requesting Changes to Anthem Policies - Group Pages: 1Instructions for requesting changes to an ISMA/Anthem policy including adding or deleting dependents, requesting a plan upgrade, requesting a review of risk class, changing a name, or changing a life insurance beneficiary.
- Instructions for Requesting Changes to Anthem Policies - Individual Pages: 1Instructions for requesting changes to an ISMA/Anthem policy including adding or deleting dependents, requesting a plan upgrade, requesting a review of risk class, changing a name, or changing a life insurance beneficiary.
- ISMA Health Insurance BrochurePages: 6Describes the unique advantages of the ISMA/Anthem group medical, life and dental insurance program and describes plans and benefits.
- ISMA Medicare Carve-Out Brochure Pages: 6Describes the ISMA/Anthem Medicare Carve-out policy, which serves as a supplement to Medicare.
- ISMA Medicare Carve-Out Comparison and Rates Pages: 1Provides rates for ISMA/Anthem Medicare Carve-out and compares with Medigap plans.
- Overview of HSA PPO 2500-5000 planPages: 1A high-level look at how a Health Savings Account works, when paired with the ISMA/Anthem HSA 2500/5000 high deductible health plan.
- Overview of Lumenos HSA PPO 3000-6000 planPages: 1A high-level look at how a Health Savings Account works, when paired with the ISMA/Anthem Lumenos HSA high deductible health plan.
- Overview of HSA PPO 3500-7000 plan Pages: 1 A high-level look at how a Health Savings Account works, when paired with the ISMA/Anthem HSA 3500/7000 high deductible health plan.
- Overview of HSA PPO 5000-10000 planPages: 1A high-level look at how a Health Savings Account works, when paired with the ISMA/Anthem HSA 5000/10000 high deductible health plan.
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