Forms & Compliance Documents
Release of Information
In instances where a specific member's information is being requested, a Release of Information form must be completed.
If your plan has Out of Network Benefits, please download our Out
of Network Claim Form
Please follow the Order
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