Employer forms

These commonly requested forms are provided to assist you in managing your employees' enrollment with Sharp Health Plan.

Find health insurance forms and documents below including applications, coverage documents, claim forms, and more that you may need to manage you and your employees' health plan.

Select a category from the list below to view and download the forms you need.

Applications and enrollment

Add a dependent to my group plan
Log into your Sharp Health Plan online account to add dependents for employees who are existing members of Sharp Health Plan.
Online form

Submit a declaration of domestic partnership
Employees who are not legally married but wish to add their domestic partner to their plan should fill out this form to see if they qualify.

English (PDF)

Add an employee to my group plan
Employees who are ready to enroll for coverage will need to fill out this form. You can also enroll an employee online by logging in to your online account.
Online form | English (PDF) | Spanish (PDF)

Submit a group size attestation
Use this form to attest to the size of your employer group.
English (PDF)

Request marketing, enrollment or benefit materials
Use this form to submit a request for marketing, enrollment, and benefit materials.
Online form

Apply for small group health insurance
Use this form to apply for health insurance on behalf of a small employer group (1-100 full-time equivalent employees).
English (PDF)

Apply for large group health insurance
Use this form to apply for health insurance on behalf of a large employer group with more than 101 full-time equivalent employees.
English (PDF)

Benefits and coverage

Submit a request for continuity of care
Employees can use this form to submit a request to continue receiving medical services with their current health care provider until they complete their care.
English (PDF)

Claims

Request a deductible credit
Use this form to submit a request to Sharp Health Plan for a deductible credit.
English (PDF)

Request a reimbursement for medical services
Use this form to ask for a refund from Sharp Health Plan for the cost of approved medical services.
English (PDF)

Request a reimbursement for at-home COVID tests
Members can submit FDA approved at-home over-the-counter COVID-19 diagnostic tests for reimbursement beginning January 15, 2022.
English (PDF)

Request a reimbursement for prescriptions
Use this form to ask for a refund from Sharp Health Plan for the cost of medication you paid for out of pocket.
English (PDF)

Manage my plan

Submit an authorization to share health information
Employees can use this form to give permission to Sharp Health Plan to share their personal health information with someone they choose.
English (PDF) | Spanish (PDF)

Request member ID cards
Log in to your online account to request a new ID card for your employees.
Online form

Remove an employee or dependent from my group plan
Log in to your online account to terminate an employee from your plan or remove an employee's dependent from your plan.
Online form

Update information for an employee or dependent
Log in to your online account to update an employee or their dependent's information such as their name or address.
Online form

Update my business information
Log in to your online account to update your contact information such as your email, phone number, or address.
Online form

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Employer forms

These commonly requested forms are provided to assist you in managing your employees' enrollment with Sharp Health Plan.

We're here to support you in any way we can. Contact us with your questions.

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