Medical Claim Form
Health Insurance Claim Form (PDF)

Rx Gold Quotes & Service
Phone: 1-800-758-1751
Email: rxgold@healthplansadmin.com

Policy Cancellations
Click here: cancel@healthplansadmin.com

Billing Inquiries & Changes
Click here: billing@healthplansadmin.com

Client: Address & Contact Change
Click here: clientinfo@healthplansadmin.com

Client ID Card Request
Click here: fulfillment@healthplansadmin.com

New Client Policy Kit
Click here: fulfillment@healthplansadmin.com

Client Policy Change(Add or Remove a dependent)
Click here: clientinfo@healthplansadmin.com