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These commonly requested forms are provided to assist you in managing your employees' enrollment with Sharp Health Plan.
Employer contact us form
Employer materials request form
Group Administration Manual
Master Group Application — Large Group HMO & POS
Master Group Application — Small Group HMO
Correction to Group Statement
Employer Group Size Attestation
Authorization for Use or Disclosure of Protected Health Information — English
Authorization for Use or Disclosure of Protected Health Information — Spanish
Declination of Coverage
Domestic Partnership Declaration
Employee Application — English
Employee Application — Spanish
Member Reimbursement Form — Medical Services
Member Reimbursement Form — Prescription Drugs
Request for Continuity of Care Benefits — English
Request for Continuity of Care Benefits — Spanish
If you need immediate assistance, please don’t hesitate to pick up the phone and call. We are available Monday through Friday, 8 a.m. to 5 p.m.
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