Sidecar Health Forms You can find forms here related to coverage through Sidecar Health. Types of Forms Other Forms Access Plan Enrollment Applications Other Forms Access Plan Enrollment Applications Other Forms PDF SiriusPoint America Insurance Company Name Change Endorsement Download Icon Link HIPAA Authorization Form – Digital submission Download Icon Link HIPAA Authorization Form – Digital submission (Español) Download Icon PDF 2023 Sidecar Health ACA Plan Policy Form Download Icon PDF Appeal request form for ACA and employer plans Download Icon PDF Appeal request form for Access plans Download Icon PDF Appeal request form for Sidecar Health employee plans Download Icon PDF Expense form Download Icon Access Plan Enrollment Applications PDF Alabama enrollment application Download Icon PDF Arkansas enrollment application Download Icon PDF Arizona enrollment application Download Icon PDF Florida enrollment application Download Icon PDF Georgia enrollment application Download Icon PDF Illinois enrollment application Download Icon PDF Indiana enrollment application Download Icon PDF Kentucky enrollment application Download Icon PDF Maryland enrollment application Download Icon PDF Michigan enrollment application Download Icon PDF Mississippi enrollment application Download Icon PDF North Carolina enrollment application Download Icon PDF Ohio enrollment application Download Icon PDF Oklahoma enrollment application Download Icon PDF South Carolina enrollment application Download Icon PDF Tennessee enrollment application Download Icon PDF Texas enrollment application Download Icon PDF Utah enrollment application Download Icon
