Effective 5/1/2014, we will no longer require the Adult Dependent Form in order to cover your adult dependents under the age of 26. If you have not provided an Adult Dependent Form before that date, your dependent may be in a terminated status. If you are unsure, please call our office to have them reinstated for benefits.

2589 Interstate Drive
Harrisburg, PA  17110-9602
Phone: 717-526-4856
Fax: 717-651-9529