These forms must be viewed
with Acrobat Reader. Click here to
download the reader.
Employee
Enrollment Form
Enrollment
Change Form
COBRA
Document
Out
Of Network Claims Form
Forms for Maryland
ASO and Section
125 Vision benefits are available For further information,
please contact
OptiCare at 1-877-615-7732 or agentcontact@opticare.net for
more information.