View of downtown Omaha.






Some services require a preauthorization before the services are provided to ensure they are medically necessary and a covered benefit under your plan. Get a preauthorization form.

Athletes' Training Center 

We provide a quality, medically-supervised service for the transition of injured workers to their full job duties in order to reduce future injury rates and healthcare costs, including time loss.

Claims Forms

Use these forms to file a health insurance claim to request reimbursement or direct payment for medical services you received.

Coordination of Benefits Form 

Your coverage contains a Coordination of Benefits (COB) provision which applies when more than one insurance plan provides you and/or your covered family members with benefits. So we can better serve you, please fill out this form.