- Application add on (for spouses or dependent)
- Needs Processing Form
- Automatic Payment Program/HSP Request Form
- Member Contact Change Form
- Member (self-pay) Maternity Policy Form
Automatic Payment Program
There are two options for the automatic payment program to pay your monthly contributions.
- HSP recurring contributions saves time, money, and is easy to begin or end!
- Credit or Debit Card recurring contributions with a 3% fee to member
For HSP, fill out the HSP Authorization Agreement online or print, scan submit to memberservices@healthshareplus.com[/vc_column_text][/vc_column_inner][/vc_row_inner][mk_padding_divider size=”60″][/vc_column][/mk_page_section][mk_page_section][vc_column][mk_padding_divider size=”30″][vc_column_text align=”center”]
[/vc_column_text][vc_row_inner][vc_column_inner width=”2/3″][mk_button dimension=”two” size=”medium” url=”http://healthshareplus.com/contact-us/” el_class=”btn-bottom” bg_color=”#0062af”]REQUEST INFO[/mk_button][mk_button dimension=”two” size=”medium” url=”http://healthshareplus.com/becoming-a-member/” el_class=”btn-bottom” bg_color=”#0062af”]APPLY ONLINE[/mk_button][/vc_column_inner][vc_column_inner width=”1/3″][mk_social_networks size=”large” style=”circle” margin=”12″ icon_color=”#0062af” icon_hover_color=”#ed1c2d” align=”center” facebook=”#” twitter=”#” instagram=”#” el_class=”bottom-icon”][/vc_column_inner][/vc_row_inner][/vc_column][/mk_page_section]