INDECS Member Reimbursement Claim Form

Enrollment Change Form

Change form

Enrollment Termination Form

Termination Form

Health Insurance Portability and Accountability Act

External Appeals Application Form

Appeals Form

Enrollment Form

COB Questionnaire Form

Latest News

To receive your FREE Flu Vaccine, COVID-19 vaccination or COVID-19 booster shot simply go to any participating pharmacy and present your OU Health member ID card.