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Your Employer ID is typically the commonly-known name of the company YOU WORK FOR, but without the spaces and in lowercase. Example: xyzcorporation
Employer ID:
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Forms

For your convenience we've created an area dedicated to important forms. Click on the links below or in the navigation on the left. If there are additional forms you'd like to see added to this page please contact us.

If you want to allow someone else (such as a spouse, friend or attorney) to access your health care information, use this form:

If you want to receive Cigna correspondence at a confidential address, use this form:

If you want to limit who your health care information is released to or how it is used, use this form:

If you want to identify someone else who will make health care decisions for you, use this form:

If you want to obtain a copy of your health care information that Cigna maintains, use this form:

If you want to either request a change to or cancel any of the above requests, use this form:

If you want to learn whether Cigna has released any of your health care information to a third party, use this form:

If you want to disagree with Cigna's denial of your request to amend your health care information, use this form:

If you want to amend or correct health care information that Cigna created, use this form:

Other Forms:

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