IMS Forms
Here you can find the forms you need to complete for our services. Click on the form name to open it.
Dental
Eligibility
FSA
Healthcare Reform
- Employer Mandate Play Or Pay
- Final Rules Dependent Coverage Of Children
- Grandfathered Health Plans
- Health Care Reform Timeline
- Insurance Management Services Privacy Practices
- Machine Readable Files Notice
- Notice To Employee Regarding Benny Card PIN
- Price Transparency Tool Notice
- SBC [Summary of Benefits and Coverage] Uniform Glossary
- Treasury Modifies Use or Lose Rule for Health Flexible Spending Arrangements
HRA
Legal
Managed Care
PBM
CVS Caremark
Formulario en español
- Autorización para la divulgación de información médica protegida
- Formulario de Historia de Proveedores
- Formulario de información de reclamo
- Formulario de reordenamiento para pedidos por correo
- Formulario Para Ordenar El Sevicio Por Corred
- Spanish-SBC-Uniform-Glossary-20120923
- Verificación de elegibilidad de dependientes