Message

Government Group Health Insurance

Pacifica Insurance is here for you when it comes to enrollment in Government Group Health Insurance, and management of your account. The following forms are available:

  1. Affidavit of Domestic Partnership
  2. Coding Supplement
  3. Claim Form
  4. Aetna International Contact Information
  5. Maxicare Contact Information
  6. Group Insurance Plan of Benefits - Catastophic Option
  7. Group Insurance Plan of Benefits - High Option
  8. Group Insurance Plan of Benefits - Low Option
  9. Enrollment / Waiver / Change Request