Forms & Documents
The information below is presented in printer-friendly PDF format.
Please go to the Apply for Insurance page for more information before completing the MHIP Enrollment Application Form.
- Enrollment Guide
- Enrollment Application Form
- Qualifying Medical Conditions
- Certificate of Coverage – HMO/HealthyBlue (2012-2013)
- Certificate of Coverage – PPO/HDP (2012-2013)
- Certificate of Coverage – Federal (2012-2013)
- Enrollment Coverage Change Form