Step-children can be added to your policy as long as Allegiant Care receives all the required documentation.  You should download and complete the Enrollment Form and forward to Allegiant Care with all required documentation within 30 days of the Qualifying Event. Dependents will not be added unless all required documentation is received.   If you have questions about completing the form, please contact Allegiant Care at 1-800-248-9732.

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Toll Free: 800.258.9732
Local: 603.669.4771
Fax: 603.666.4477

Allegiant Care
51 Goffstown Road
P.O. Box 4604
Manchester, NH 03108

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