Related Links

Forms

Welcome to the 1st Choice Customer Service site for our Members. This site offers our Members 24-hour secured access to claim status and eligibility as well as links to provider directories.

All forms are loaded and submitted through a secure page with the use of SSL. The key items to look for to ensure a page is being processed with SSL is the https in the address and/or a closed lock symbol will appear somewhere on newer browser windows.

• Health / Prescreen Application
• Health Claim Form
• Application for Change
• Refusal of Coverage
• Student Status
• Accident

If you have specific questions or concerns, please click on the "Contact Us" link to the left and a Customer Service Representative will be happy to assist you. Our Customer Service Team is here to serve you Monday through Friday, 8:30 am - 5:00 pm. You can also reach us via our toll-free number at 877.417.8988.