These are fillable PDF Forms, some of which may require a signature.
Completed forms can be sent to info@discovercfi.com or faxed to 740-369-1556.
Group Benefits - General Forms
Group Change
This form is for any group changes you have to report, such as new hires, terminations, or contact information changes.
Group Census
For new group clients needing to send in employee census data for quoting.
Employee Waiver
For existing group clients, if an employee needs to waive benefits, they can complete and return this form.
Individual Client Forms
Medicare Drug List
For new and existing Medicare clients. We collect this information to help guide your plan selection to best cover your medications.
This form is required for new and returning Medicare clients. This form is mandated by the Centers for Medicare and Medicaid Services (CMS) and is required for all Medicare appointments.
Marketplace Consent
Marketplace consent is required for new and returning individual marketplace clients.
Client Change Form
For existing clients to report changes in address, contact information, dependent information, etc.