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How do I make changes to a current employee’s coverage (i.e., address change, dependent changes, terminations, etc.)?

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How do I make changes to a current employee’s coverage (i.e., address change, dependent changes, terminations, etc.)?

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Simply call or email the Pennsylvania Medical Society Insurance Agency with the necessary information, and we will complete the required paperwork. Because a change form does not require a signature by the employee or employer, we will be glad to complete these forms for you. Or, if you prefer, you may complete the form and return it to us for processing. Please call us if you need a supply of change forms. These forms are also available under the Forms/Resources section of this website. All completed forms should be mailed, emailed, or faxed to the Pennsylvania Medical Society Insurance Agency. If you choose to fax or email your forms, it is not necessary to also mail the originals.

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