Tools for transitioning your clients to Moda Health

Transitioning your clients to Moda Health is simple with the right tools and support. Access enrollment forms, transition guides, and other helpful resources designed to support a smooth implementation and member experience. If you have questions or need assistance along the way, your Moda Health account team is here to help.

Enrollment and transition forms and information

Find the forms, guides and information to smoothly transition your clients to a Moda Health medical plan.

2026 Moda Health and Delta Dental plan brochure

Start here for in-depth information about the medical and dental plans and information on the Moda Health commitment to providing better experiences to our members

2026 Moda Health and Delta Dental plan brochure

Application and enrollment forms

Access the forms your clients and their employees will need to enroll in a Moda Health medical plan.

Master group application
Associate application
Delta Dental Enrollment Form
Delta Dental and Willamette Dental Enrollment Form
Medical Enrollment Form
Medical and Delta Dental Enrollment Form
Medical and Delta Dental and Willamette Dental Enrollment Form
Green Enrollment Form
EFT Authorization form

Guide members through the transition

Encourage your clients to share these forms with their employees to help make their transition to their new Moda Health medical plan go smoothly.

Member transition checklist
Transition of care form
Prior authorization guide for members
PHI disclosure form

COBRA Administration Through BenefitHelp Solutions

Benefit Help Solutions (BHS), a subsidiary of Moda Health, provides BCOC association members with no-cost COBRA administration when they enroll in Moda medical coverage. Members can also work with BHS to purchase HSA with optional integration, FSA, and HRA accounts, making it easier to manage multiple benefit administration needs through one trusted partner.

Quick Links:

COBRA Administration Guide
Bend Chamber of Commerce COBRA FAQ

For additional questions about COBRA administration, enrollment, qualifying events, or member support, contact BenefitHelp Solutions:

Phone: 503-765-3581 | 800-556-3137
Email: bcocsales&service@benefithelpsolutions.com
Website: BenefitHelp Solutions | Bend Chamber of Commerce