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SEHIP Forms

If you need help determining which form to use then please download our Forms Guide.

New State Employees

Enrollment/Membership

Discount Applications

Active State Employees

Enrollment/Membership

Discount Applications

Retired State Employees

Enrollment/Membership

Discount Applications

Claim Forms

Miscellaneous Forms

Agency Forms

HIPAA Forms

- Document is a fillable PDF, and can be filled out before printing.

State Employees' Health Insurance

Resources

Quick Links

Contact SEHIP

Telephone Number 1-866-836-9737
Telephone Number 1-334-263-8341
Fax Number 1-334-263-8541

Other Helpful Links

  • Important Notice About Your Prescription Drug Coverage and Medicare - Learn More