MHBP Information request form
Would you like information about MHBP mailed to you?
You can request an official plan brochure and summary benefit information by completing the form below.
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MHBP Information request form
MHBP members: Check “Yes” and complete the form to request benefit information.
Non-members: Check “No” and complete the form to receive health plan information.
* Required information
Thank you for your submission. We have received your request.
Have questions? We’re here.
Call 1-800-410-7778 (TTY: 711)
24 hours a day, 7 days a week, except certain holidays