You will need the forms that start with a plus sign (+) to process new business.
- + Amerihealth Pediatric Dental Attestation Form
- + AmeriHealth SEH Group Application FILLABLE FORM
- + Amerihealth Small Employer Certification FILLABLE FORM
- + Amerihealth Small Group Employer Certification
- + Amerihealth Small Group Master Application
- + Amerihealth Small Group Member Enrollment Form
- + Amerihealth Waiver
- + Amerihealth Waiver of Coverage FILLABLE FORM
- +Amerihealth Small Group Member Coverage Application FILLABLE FORM
- Amerihealth Bancorp HSA Member Enrollment Form
- Amerihealth Carry Over Deductible Form
- Amerihealth Claim Form
- Amerihealth Employer Auth for Electronic Withdrawal
- Amerihealth Employer Portal User Access Form
- Amerihealth Future Scripts Mail Order Form
- Amerihealth Handicap Child Claim Form
- Amerihealth HSA Bancorp Group Application
- Amerihealth HSA Declaration of Understanding
- Amerihealth PNC HSA Small Mid App Package
- Amerihealth Prior Carrier Deductible Credit
- Guest Advantage Application
