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Group & Employer Plan Members

Forms + Resources

Access the Forms You Need

Get secure and convenient access to member forms and resources through MyChart.

Printed Materials

If you would like printed materials, complete the Request Materials form in MyChart, or send a message.

You can also contact Quartz Customer Service at (800) 362-3310.

Printed materials you can request include:

  • Provider Directory
  • Member Guide
  • Certificate of Coverage
  • Prescription Drug Benefit Brochure
  • Preventive Services Covered Under the Affordable Care Act
  • Prescription Drug Formulary
  • Notice of Privacy Practices

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Forms

Appeals & Grievances

You or your authorized representative may request an initial decision or appeal. Your prescriber or treating provider may also request it for you.

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Quartz is committed to providing superior customer service. That's one reason we offer so many ways to reach us.