ACHIA Members Login
ACHIA Board Members Login

Download Forms

All of the forms listed below are in PDF format which allows you to view them electronically on most computers. The Adobe Acrobat reader is required to view and print PDF files. If you do not have the reader, click here to download free of charge.

Applications

2015 Premiums

2014 Premiums

Policies

Non-Medicare Plans

Medicare Plans

Schedule of Benefits

Pharmacy


Request a Login
Download Forms
Benefit Information
Contact Us