Employers & Producers
Forms & Resources

Forms & Resources

Coverage That Makes Sense

Presbyterian Health Plan, Inc. wants to help. Below are documents that are frequently requested. If you can't find what you are looking for, please contact us.


Presbyterian Senior Care Table of Commission Rates


Medicare Sales Appointment Confirmation FormMember Termination/Change Form (for groups only)Medicare Producer Formal Seminar Approval Form


Procedural Forms - Quoting a Group with Presbyterian

Census FormLarge Group UMAFRate Request FormUMAF Medical Assessment Form, EnglishUMAF Medical Assessment Form, Spanish

Procedural Forms - Enrolling a Group with Presbyterian

Employee Action Form, EnglishEmployee Action Form, SpanishEmployee Action Form PIC/PHP, Spanish (enrollment /change /waiver)Employer Group Information SheetCOBRATransition of Care Form

Rate Increase Justification

Small Group HMO JustificationSmall Group PPO JustificationIndividual Plans HMO Justification


Presbyterian's Individual and Family Plans


Call our knowledgeable associates on our Employer/Producer hotline: 505-923-5656 or 1-866-246-9877

Is My Provider in-Network?

Presbyterian Health Plan members can log into myPRES to determine which providers in Presbyterian’s network of more than 9,000 providers are covered by their plan.

Presbyterian Medical Group Providers

Presbyterian Medical Group has more than 950 providers in 50 specialties at more than 100 clinics throughout New Mexico – all dedicated to your health and comfort.

What's Happening at Presbyterian

Find out about the newest staff and the latest technology, and all the other happenings at Presbyterian.