We understand how important it is to have access to the resources you need to manage your health. Are you an RMHP Member on an Individual & Family plan and need to update your information? Maybe you're an employer and need to complete an employee change form. Find these forms and more on this page.
Members
- Authorization to Release information [English]
- Authorization to Release Information [Español]
- Breast Pump Claim Form
- Designated Representative for Appeals
- Prescription Reimbursement Form
- Individual & Family Disenrollment Form
- Individual & Family Billing Form
- Individual & Family Info Change Form
- Individual & Family Plan Change Form
- Commercial Member Submitted Claim Form
- Medicare Member Submitted Claim Form
- Medicare Document Delivery Preferences Request Form
- CHP+ Medicaid Member Submitted Claim Form
- Medicare Short Enrollment Change Form
- Medicare Payment Options
- Medicare Disenrollment Form
Questions About the Forms?
We're happy to help you find the answers you need.
Contact us
Employer Groups
Forms & Resources for Small Employers
Forms & Resources for Large Employers
- Online Employee Disenrollment Form
- Electronic Funds Transfer for Employer Groups
- Small Employers HMO Application [English]
- Small Employer HMO Application [Español]
- Peak Health Small Employer Application [English]
- Peak Health Small Employer Application [Español]
- Group Change Form 2020
- Group Change Form - West Region 2020
- Group Change Form - Mesa Region 2020
- Group Change Form 2019
- Group Change Form - West Region 2019
- Group Change Form - Mesa Region 2019
- Employee Change Form
- Uniform Employee Application
- Disenrollment Form
- Transition of Care Form
- Notice of Qualifying Event form COBRA/CCOC
- Request for Enrollment of Common Law Spouse
- Common Law Employee Attestation
- Affidavit of Domestic Partnership
- Certification of Designated Beneficiary
- Request for Enrollment of a Disabled Dependent
- Employer Administrative Guide
- Online Employee Disenrollment Form
- Large Group Enrollment Form [English]
- Large Group Enrollment Form [Español]
- Large Group Employer Application
- Employee Change Form
- Disenrollment Form
- Transition of Care Form
- Notice of Qualifying Event form COBRA/CCOC
- Employee Dependent Waiver
- Request for Enrollment of Common Law Spouse
- Affidavit of Domestic Partnership
- Request for Enrollment of Designated Beneficiary
- Request for Enrollment of a Disabled Dependent
- Employer Administrative Guide
- Applicable Large Employer Information
Questions About the Forms?
We're happy to help you find the answers you need.
Contact us
Let's Find You Great Health Insurance
- For Employer Group Plans
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Get more from RMHP
Healthy employees build healthy businesses, and your employees receive the health protection they expect and deserve when you partner with RMHP. Whether you’re a small business or large employer, we have a group health insurance plan that will fit your employees’ needs.
- For Individual and Family Plans
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Find your Plan
Our plans offer the coverage, network, and health management resources you and your family need for your Colorado lifestyle. Get the personalized attention and quality care you deserve from your local health insurance option that has been serving our communities for over 40 years.
- For Medicare Plans
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Explore Your Options
Since 1977, Colorado retirees like you have trusted RMHP to get the most out of their Medicare benefits. Enjoy easy enrollment, flexible options, and a large provider network when you choose RMHP. Let us help you enjoy your retirement.