2024 Plan Guide Request Form

Your Information

Note: Asterisk * indicates a required field

Form

First name*

Last name*

Email address*

Agency name

Mailing address 1*

Mailing address 2

City*

State*

ZIP code*

Sentara Employer Group Plan Guides

Quantity:

BusinessEDGE® Guide

Mid-Market & Large Group Guide

Small Group Guide

The 2024 IFP marketing materials are available for download under Sales Resources.

UTM Source UTM Medium UTM Content UTM Campaign UTM Term

If you are experiencing issues with submitting the form through Internet Explorer, please try another browser. If you continue to experience issues, please contact your Sentara Health Plans sales representative or email sales@sentara.com. For questions about Sentara Individual & Family Health Plans, please email individualsales@sentara.com.

© Sentara Health Plans 2025, 1300 Sentara Park, Virginia Beach, VA 23464

Sentara Health Plans is the trade name for Sentara Health Plans, Sentara Health Insurance Company, Sentara Health Administration, Inc., and Sentara Behavioral Health Services, Inc. Health Maintenance Organization (HMO) products, and Point-of-Service (POS) products are issued and underwritten by Sentara Health Plans. Preferred Provider Organization (PPO) products are issued and underwritten by Sentara Health Insurance Company. Sentara Health Administration, Inc. provides administrative services to group and individual health plans but does not underwrite benefits. All plans have benefit exclusions and limitations and terms under which the policy may be continued in force or discontinued. Medicare products are administered under an agreement with Sentara Health Plans and the Centers for Medicare and Medicaid Services (CMS). Medicaid and FAMIS products are administered under an agreement with Sentara Health Plans and the Virginia Department of Medical Assistance Services (DMAS).