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 PlanDownloadable 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

INFO GUIDE — Updated as of March 2026