Dental Claim Form (all dental plans) |
Member Termination Form |
Transition of Dental Care Form |
Reinstatement Request Form For members who purchased their plan directly through CareFirst and not through a state Exchange. |
Coordination of Benefits Form |
The CareFirst Employer Portal will be undergoing scheduled maintenance from Friday, February 2 at 6:30 P.M. until Saturday, February 3 at 11:30 A.M. we apologies for any inconvenience.
Dental & Vision Forms
Dental