Request an ID Card

There are two different way to submit your Request an ID Card form to HealthMarkets Care Assured^SM — online and through the mail.

By Mail

Download the Request an ID Card Form, print it out, complete it, and send it by mail to:

HealthMarkets Care Assured Plan
The Chesapeake Life Insurance Company
PO Box 37675
Philadelphia, PA 19101-0675
ATTENTION: MEMBER SERVICES

Request an ID Card online by completing the form below. When you are finished, remember to click “submit” at the bottom of the page.

CMS APPROVAL 11/24/2007
H7845_MM_NA_E_4006_3_ALL

Underwritten by

The Chesapeake Life Insurance Company^SM