Forms

Select the form you need below. All forms can be saved for submission using a secure file transfer.


Managed Care Claim

Format: PDF


Managed Care Notification

Format: PDF


Managed Care Premium Transmittal

Format: Excel


For additional forms related to HM Insurance Group and its Stop Loss products, visit the HM Forms page.


For Clients: Secure Website

Send secure email and attachments to our claims and medical management staff.


Explore Our Navigator Program

Our program impacts clinical outcomes and adds value to our clients by assisting with and supporting claims management from the first dollar.

  • Complex Medical Management Services
  • PPO and Pharmacy Networks
  • Contract Reviews and Technical Support

Learn more.