Below are the forms you need to make insurance changes. The form to use depends on your health care needs.Insurance claims can be submitted through a medical claims management system or a direct data entry system. Include health insurance premiums, pharmacy copays, doctor office copays and all unpaid medical bills. No. Yes – fill in below. This claim form must be completed using Black ink. Retrieve your authorization and service agreement letters. Forms Find a national federal court form that can be used in all federal courts. Find contact information for insurance departments and local insurance agents, or file a complaint. Commissioner of Health.