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Eligibility:
1. Must be a part of Cooperative as;
Board Member
Officer
Employee
Dependent
2. Ages 12-75 years old
Online Forms:
HMO Pre-Application Form
Standard Premium Plans
E-Sugod Application Form
Emergency Care Plan
Downloadable Forms:
Death Claim
Enrollment Application Form
HIB Reimbursement Form
ID Replacement
Reimbursement Request
Standard Availment Procedure
APE
In-Patient, Outpatient, Dental & Emergency
Financial Assistance
Reimbursement
Note: Just present 1COOPHealth ID
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INFO GUIDE
Updated as of March 2024