• Value Added Service | Notary Reimbursement

    *Valid September 1, 2026 to August 31, 2027

  • Dear Cook Children’s Health Plan Member,

    Cook Children’s Health Plan would like to reimburse you up to $25 per year for Notary Service fees to certify authorization to act as Legal Authorized Representative for our Member. You may choose your preferred Notary. VAS valid for STAR Kids Members only.

    *Date of service must be within the current fiscal year (September 1, 2026 - August 31, 2027)

  • Member DOB:*
     / /
    2 digit month, 2 digit day, 4 digit year
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  • Please remember to register or log in to Healthmine to access your digital gift card and rewards

    Some limitations and restrictions may apply. Member must be active both on the date of service and on the date of request. If you have any questions please visit our website www.cookchp.org, contact us through the MyCookChildren’s Member Portal or call Member Services at 1-800-964-2247.

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