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Member Handbooks and Forms

Attention Members! If you are interested in having a printed copy of the Member Handbook or any form below, just contact Customer Service at 1-844-366-2880 (TTY: 1-844-804-6086, Relay 711). You'll receive the free printed handbook or form in about five business days after your request.
Pregnant woman

Let Us Know if You're Pregnant

You’ll earn $25 in My Health Pays® rewards and get connected to programs like Start Smart for Your Baby®.

Notification Of Pregnancy Form (PDF)

Father holding child

Complete your Health Risk Screening

This helps us understand your needs and connect you to the right programs and support.

Health Risk Screening Form (PDF)

Use these forms to update your information, make requests, or notify us of changes.

Many forms can be submitted through the Member portal. Please login.