Skip to main content

We’ve updated our Terms & Conditions and Privacy Policy. By using this site, you agree to these terms.

Geisinger provides notice of Nuance’s data security incident

Applications and forms

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


New businesses should use our Marketplace employer group application


Marketplace subscriber application

Add employees to your plan with the subscriber application.

Enrollment application change form

Add or remove employee and dependents; change name/phone/address, PCP, or plan with this 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

Related information

Learn more about Geisinger Health Plan.

Get a quote

When you're ready, contact us for a price quote.

Call 800-554-4907

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.

Content from General Links with modal content