Forms and Brochures
Get Health Net Plan Materials
Find plan coverage documents, plan overviews and more. Go to Plan Materials
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To view or download a file below, click the topic heading, then click the desired document link. The PDF file will open in a new window or tab of your browser. From there, you can also download or print the file.
Enrollment Applications - Effective January 1, 2018
Apply during Open Enrollment, which is 11/1/17 - 1/31/18.
More Enrollment Forms
Other helpful forms
Department of Managed Health Care (DMHC)
- Right to Submit Request for Review of Cancellation, Rescission, or Nonrenewal of Your Plan Contract, Enrollment, or Subscription
More Helpful Forms
Glossary of health coverage and medical terms
Health insurance companies and group health plans are required to make available a uniform glossary of health coverage and medical terms commonly used in plan documents. The Uniform Glossary is meant to help the consumer understand some of the most common language used in health insurance documents. Please log in to request a hardcopy of the document by mail.