MICA Claim Form Download

Change in Status/Termination Election Form Download

Debit Card Enrollment Form Download

Direct Deposit Enrollment Form Download

Flex Enrollment Form Download


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Contact Info

Main Office
3340 Merlin Drive
Suite 100
Idaho Falls, ID, 83404

Mailing Address
P.O. Box 1528
Idaho Falls, Id 83403

208 529 4060
800 522 4060
FAX 529 0517



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