Employer Resources

This page includes helpful forms and information to assist you in administering your health insurance plan.

Member Handbook

Employee Enrollment/Change Form

Claim Forms

Claim forms are used to submit claims directly to New West.

Medical Claim Form

Vision Claim Form - VSP

Pharmacy Claim Form - Caremark

Accident Report Form

Caremark Pharmacy (optional benefit)

Mail Order Form

COBRA (optional benefit)

COBRA Qualifying Event Form

This form is used by groups who have COBRA administered through New West.

EFT (Electronic Funds Transfer)


			Your input is important to us. Let us know if you have any comments on how we can improve our products or have questions regarding New West,

We appreciate the opportunity we have to partner with you in providing your employees with the best possible health insurance available in Montana. Our staff is committed in providing you with the service that you expect.