Applications and forms
Find the documents you need to enroll and manage your company’s healthcare coverage with Geisinger Health Plan.
HMO subscriber application
PPO with No Referral subscriber application
PPO with Referral subscriber application
Add employees to the employer sponsored plan with the PPO with Referral subscriber application
Enrollment application change form
Use the enrollment application change form to add or remove employees and their dependents and to update name, phone, address, PCP or plan information for employees.
Learn more about Geisinger Health Plan.