Vermont State Health Insurance Program  (SHIP) 

Downloadable Forms & Documents for SHIP

(​for V4A Staff Use Only)

These materials are for SHIP Coordinators and other AAA staff who perform SHIP work.  The Orientation & Training Manual explains basic SHIP introductory information.  Documents that are referred to in the manual that are underlined can be accessed on this page, along with many other documents and resources that SHIP staff need.

SHIP Policies, Guidelines and Forms​​
SHIP Resources
Feedback Form
ACL Long Term Care Insurance Manual
Final SHIP Certification Guidelines
Complaint Tracking Module
Standard Operating Procedures 2018
Final SHIP Volunteer Policies and Procedures
ER Fact Sheet
PDP Referral Form
Federal Employees Health Benefits and Medicare
Quarterly Report Form SHIP and MIPPA
Final HSA Medicare July 10, 2017
SEP Request Form for James Murphy
Overview GMC - VHC Chart 3.18.2019
SHIP Orientation & Training Manual
Referrals to the Health Care Advocate Office
SHIP Reporter STARS Guidance Document
VHC to Medicare 2018