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Home > Customer Service Forms

Customer Service Forms


Available Customer Service Forms

Self policy service any time of the day, directly from our website. To request a policy change on your account, click any of the following policy service options below.

Aetna
Cigna
Clear Spring Health Form JSA
Devoted
Essence
Molina
Policy Change Request Form
Providence Medicare Advantage Plans
Regence
Surebridge
True Freedom
UHC
Wellcare

More Information

Online Billing & Payments

Many insurance carriers provide the option for you to pay premiums by EFT (Electronic Funds Transfer), e-check or by credit card either monthly or annually. Fast online payments can prevent lapses in coverage, saving you time and headaches.

Policy Change Request Form

Use this form to request a change to your current insurance policy, or contact your agent directly for adjustments.  By submitting this form, you understand that no coverage or premium adjustment of any kind is bound until you receive written notice.

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Contact us 5850 Canoga Ave
Suite 400
Woodland Hills, CA 91367

Phone: 855-909-STAR (7827)
Fax: 855-909-7827
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