We’re excited that after all the shopping around and research you’ve done, your group wants to partner up with us. Before we get started, we’ll need you to fill out this master application. Once it’s complete, send it over and we’ll take it from there.
Thanks for choosing us. We’re glad you’re ready to get your group covered with us. First, we’ll need some information about your company, employee eligibility, and your plan preferences. Then, we can start getting your group the care they need.
Have the employer fill out this sheet so that we can get a good idea of their needs.
When employees are ready to start getting coverage, they’ll need to fill out this form. This helps us organize and keep track of their benefits so that they can maximize their coverage and care.
Use this form to attest to the size of your employer group. We'll need notification within 30 days of the change to the group size.
Not finding what you're looking for? Check out the Member Center for more individual member forms such as pharmacy or medical reimbursement.
Even if a member and their partner are not legally married, they may still qualify for benefits. Have them fill out this form declaring their domestic partnership to see if they’re eligible.
Use this form to report adjustments to your monthly statements.
Members can fill out this form if they would like their medical information shared with an organization, loved one, or representative.
This form can help a member continue care with a non-Sharp provider until treatment of their acute condition is over or until the end of her pregnancy.
Here is a W-9 form you can download and fill out.
Get the collateral you need to sell more plans. Here you'll find checklists, brochures and more.
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