Document Center
Click on a link below to access forms to help administer your benefit program. If you do not see he form you are looking for, please
contact us
.
IMPORTANT NUMBERS AND WEBSITES
HMO Member Services: 800.227.3114
POS Member Services: 800.253.3854
PPO Member Services: 800.626.8144
www.ibx.com
www.ibx.com/forms_online/general/index.html
FORMS
Application/Change Form for Small Employer Coverage
Small Employer Health Benefits Waiver of Coverage
Preventive Care Services for Commercial Members