Health Insurance Forms & Publications

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Health Insurance Forms & Publications

Below you may download the current Health Insurance Handbook and various health insurance enrollment forms.

Health Insurance Handbook

2019 Health Insurance Handbook
2018 Health Insurance Handbook

Health Insurance Enrollment/Change

CTPF Form 350: Health Insurance Enrollment/Change

Proof of Prior Creditable Prescription Drug Coverage

CTPF Form 309: Proof of Prior Creditable Prescription Drug Coverage

MedPay Enrollment

CTPF Form 301: MedPay Enrollment

HIPAA Authorized Representative Designation

CTPF Form 345: HIPAA Authorized Representative Designation