IMS Forms
Here you can find the forms you need to complete for our services. Click on the form name to open it.
Dental
Eligibility
FSA
Healthcare Reform
- Employer Mandate Play Or Pay
 - Final Rules Dependent Coverage Of Children
 - Grandfathered Health Plans
 - Health Care Reform Timeline
 - Insurance Management Services Privacy Practices
 - Machine Readable Files Notice
 - Notice To Employee Regarding Benny Card PIN
 - Price Transparency Tool Notice
 - SBC [Summary of Benefits and Coverage] Uniform Glossary
 - Treasury Modifies Use or Lose Rule for Health Flexible Spending Arrangements
 
HRA
IMS
Legal
Managed Care
PBM
CVS Caremark
Formulario en español
- Autorización para la divulgación de información médica protegida
 - Formulario de Historia de Proveedores
 - Formulario de información de reclamo
 - Formulario de reordenamiento para pedidos por correo
 - Formulario Para Ordenar El Sevicio Por Corred
 - Spanish-SBC-Uniform-Glossary-20120923
 - Verificación de elegibilidad de dependientes