Tools for transitioning your clients to Moda Health
If you have questions or need help transitioning your clients to Moda Health, reach out to your account team.
Enrollment and transition forms and information
Find the forms, guides and information to smoothly transition your clients to a Moda Health medical plan.
Application and enrollment forms
Access the forms your clients and their employees will need to enroll in a Moda Health medical plan.
Associate application
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
Prior authorization guide for members
Additional program documents
- UW Guidelines
- EAP Summary of Services
- EAP Summary of Services - Spanish
- USAble Life Beneficiary Form
- USAble Life Beneficiary Form - Spanish
- USAble Life Statement of Claim - Group Accident Insurance
- USAble Life Employee Benefits Summary
- USAble Life Employee Benefits Summary - Spanish
- Bend Chamber of Commerce COBRA FAQ
- BHS Bend Chamber of Commerce COBRA Guide