Health Trust Claim Forms . . .

Not all claim forms are available online. The Health Trust does currently provide some of its enrollment or change forms online.

Dental Claim Form

Health Claim Form

Anthem Prescription Drug Claim Form

Income Protection Plan (IPP)

Long Term Disability (LTD)

Retiree Major Medical Claim Form

Enrollment and Change forms:

Salary Change Form - PDF to Print or Word Document to type in and print

Termination Notification Form - PDF to Print or Word Document to type in and print