Forms & Compliance Documents

In instances where a specific member’s information is being addressed, a Release of Information (ROI) will be necessary.

If your plan has Out of Network Benefits, please download our Out of Network Claim Form.

Please use the Health Fair/Orientation Request Form to initiate a Health Fair or Employee Orientation.

Please use the Seminar/Training Request Form to initiate a Wellness Seminar or Manager Training.

To choose a seminar or training view our Seminar List

Please follow the Order Communication Materials instructions to receive additional supplies.

Please complete the Press Release Authorization Form and send it to your Account Manager if you are allowing us to use your company name/logo on our website or in our press releases.

View the Appeals Process here. Please contact your Account Manager with questions.

It's important to stay informed on a variety of legal issues and government regulations that may affect your benefit programs. We'd like to share some basic information on the following: the New York Healthcare Reform Act.