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Forms and Resources

Forms and resources for your insurance plan.

Downloadable Forms

Direct Deposit Authorization 
Authorization for Release of Health-Related Information to IBS Admin

Forms Description

Authorizes IBS Admin to deposit a payment into an agent's account.
Authorizes IBS Admin to receive all non-public personal information and individually identifiable protected health information.

Support

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Machine Readable Files for Transparency in Coverage


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  • Insured
    • Forms
    • Appeal Forms
  • Providers
  • Self-Service Site
  • Contact