Forms & Brochures


Compass Rose Health Plan

 Stateside Claim Form

Overseas Claim Form

Disputed Claim Form

Authorization for Release of Information

Request for Confidential Communication

Request to Revoke or Change Prior Confidential Communication Request

Retirement Reimbursement Account Claim Form

Express Scripts Claim Form

Express Scripts
Home Delivery Form

2021 Compass Rose Health Plan Brochure

2021 FEHB Brochure

2021 Summary of Benefits

2020 Compass Rose Health Plan Brochure

2020 FEHB Brochure

2020 Summary of Benefits

2019 Compass Rose Health Plan Brochure

2019 FEHB Brochure

2019 Summary of Benefits

2018 FEHB Brochure

2018 Summary of Benefits

Medicare & Me Brochure

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