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Applications and forms

Find the documents you need to enroll and manage your company’s healthcare coverage with Geisinger Health Plan.

Apply

For new businesses - Geisinger Health Plan application

Forms

HMO subscriber application

PPO with no referral subscriber application

PPO with referral subscriber application

Enrollment application change form

How to submit forms

You’ll need to create a secure digital ID to electronically sign these documents. Learn how.

Once, you’ve signed the document, email it to clientgroupservices@thehealthplan.com.

 Log in for forms specific to your account.

Related information

Learn more about Geisinger Health Plan.

Our service area

Find out if Geisinger Health Plan coverage is available in your area.

Healthy living

Get tips and advice for living a healthy, happy life.

Geisinger Health Plan in the news

Get the latest updates about Geisinger Health Plan.

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