Please complete the material request form below to order your materials from Security Health Plan. 

Many of the documents you can request here are also available in our Broker Document Library at www.securityhealth.org/brokers. You will also find other important forms like the HIPAA Use and Disclose Protected Health Information Authorization and Authorization to Use and Disclose Protected Health Information for Enrollment and Related Purposes available there for you to download and print.

If you would like us to ship your materials to you, please note we cannot deliver to a post office box; a shipping address must be a valid FedEx delivery address.

 

Thank you!

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