Individual & Family Plan Members

Forms + Resources

Individual & Family plan forms and resources

Thank you for choosing Quartz! We want to make it easy for you to use your health plan. To help you, we’ve gathered some helpful resources to walk you through important details.

How to keep your information updated

Need to make changes to your plan election, name, address, telephone number, or email address? Here’s how:

Members in Wisconsin and Illinois
Members in Minnesota
  • Log in to your account at
  • Contact MNsure at (651) 539-2099 or (855) 366-7873

Questions? We’re here to help. Call Customer Success at (800) 362-3310.

Access the forms you need.

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

Get an Answer Online — Right now!
Essential Information and Resources
Protected Health Information (PHI) Authorization
  • You have the right to allow someone else to access your Protected Health Information (PHI). To do so, please complete and submit the Authorization for Disclosure of Protected Health Information form at or in Quartz MyChart.
  • You may also print and mail the Authorization to Release Protected Health Information form and send it to Quartz.

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.

Contact us

We’re here to help you find the right plan option that works for you and your family. Please contact Quartz Customer Success at (800) 362-3310, or if you have worked with an agent in the past, reach out to them with any questions on your 2024 Quartz plan options.