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SHBP Forms

Claims Forms

Medical and Pharmacy Claim forms for CIGNA and United HealthCare.

NOTE: Claims forms should be mailed directly to the address specified on each form.

Eligibility Forms

Eligibility Forms include dependent student updates, miscellaneous update and surcharge forms and much more.

UPDATED FORMS WILL BE AVAILABLE SOON. PLEASE CONTINUE TO USE THE CURRENT FORMS UNTIL THAT TIME.

NOTE: Eligibility Forms should be mailed to:

State Health Plan Benefit
Post Office Box 1990
Atlanta, Georgia 30301-1990