These commonly requested forms are provided to assist you in managing your employees' enrollment with Sharp Health Plan.
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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