Do you want to add vision to your EXISTING individual plan coverage? CLICK HERE

Are you already an Individual Plan member and want to make changes? The change form allows members to:

• add or remove dependents
• change your address
• change your coverage type if you had a qualifying event change in your family. (Marriage, Divorce, Adoption, Birth, Other)
• to change your name or the name of one of your dependents.
• to make changes to your EFT payment account.

NOTE: Changes due to qualifying events must be submitted within 31 days from when the event occured. Any changes you would like to make to your plan can be submitted through a change of status form on your renewal date.