Individual and family plan document library
We try to minimize paperwork. But sometimes you need a form or other information. And when you need it, you want it to be convenient. We have created a document library to give you easy access to the most requested documents.
If you’re a Security Health Plan member, simply log in to your My Security Health Plan account and view your specific plan documents in the “Coverage and benefits” section.
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2027 Commercial Handbook
A quick-start guide for individual and fully-ensured employer plan members to understand their health plan and find the information they need
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2027 Individual and Family Health Insurance Application
Complete this form to apply for health coverage.
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2027 Individual and Family Policy
Provides specific coverage details for your policy.
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Existing Subscriber Health Plan Change Request
Complete this form if you have a demographic change, plan change or the addition or deletion of a dependent
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HIPAA Authorization to Use and Disclose Protected Health Information
Use this form to designate individuals you choose to have access to your health information
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Individual and Family Plan Automatic Premium Payment Plan Form
Use this fillable form to sign up for automatic payment of your Individual and Family Plan monthly premium
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Póliza Individual y Familiar de 2027
Proporciona detalles de cobertura específicos de su póliza
Security Health Plan is a Qualified Health Plan (QHP) issuer through the Federally-facilitated Exchange. Pediatric dental services, as required under the Affordable Care Act, are not included in this policy. Stand-alone dental plans are available for purchase with the Marketplace. Please contact Security Health Plan or the Federally-facilitated Exchange if you are interested in purchasing pediatric dental or stand-alone dental coverage.
For our Qualified Health Plans, Security Health Plan does not use quality measures, member experience measures or cost-related measures to select practitioners or hospitals.
*Security Health Plan has been recognized by Service Quality Measurement Group (SQM), a leading North American research firm that specializes in customer service improvement, with the World-Class Customer Experience Certification consecutively since 2016.