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2010 Open Enrollment Letter
Letter sent out to all members regarding the January 2010 Open Enrollment.
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2010 Open Enrollment Letter for Groups
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BCBS of WNY Application and Change form
Used for all new enrollments as well as existing member changes. This should be submitted along with the appropriate underwriting documentation. Please call our office for details.
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BCBS of WNY 2010 Plan Options
2010 rates for the POS 7100 and HMO 206 plans through BCBS of WNY.
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BCBS of WNY Frozen Plan Options
2010 rates for the existing BCBS of WNY 104 plus and Aqua plans. These plans are currently frozen and only available to groups that currently offer them in their portfolio.
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BCBS of WNY Underwriting for Employer Groups
Please use this underwriting for Employer Groups when enrolling in a plan within our Bene-Care Association Group.
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Excellus 2010 Blue Choice HMO Comparison
2010 rates for the Blue Choice Value and Blue Choice 25 plans.
These plans require full underwriting. Please call our office for details.
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Excellus 2010 Group Plan Options
New 2010 plans and rates for BC30-6, BC30-4, SB-C-10, SB-HDHP-10, and HB-HDHP-1. Please note these plans require special underwriting and participation requirements. Please call for details.
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Excellus 2010 Healthy Blue Copay Group Options
New 2010 plans and rates for Excellus HB-C-43, HB-C-26, HB-C-39, SB-C-5, and SB-C-2 plans. Please note these plans require special underwriting and participation requirements. Please call for details.
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Excellus 2010 High Deducitble Group Health Plans
New 2010 plans and rates for Excellus HB-CD-21, HB-CD-3, SB-HDHP-2, HB-HDHP-8 and HB-HDHP-3 plans. Please note these plans require special underwriting and participation requirements. Please call for details.
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Excellus Group Enrollment / Change Form
Used for all new coverages as well as contract changes.
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Excellus Healthy Blue Application
Use this application to enroll in one of the new Healthy Blue plans through Excellus Blue Cross Blue Shield.
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Excellus Simply Blue Application
Use this application to enroll in one of the new Simply Blue plans through Excellus Blue Cross Blue Shield.
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Excellus Underwriting for Employer Groups
Please use this underwriting for Employer Groups when enrolling in a plan within our Bene-Care Association Group
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Guardian Dental Application
This applicaiton must be completed by all individuals enrolling in dental coverage through their employer.
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Guardian Dental Plans for Employer Groups
Guardian dental plans are available to employer groups with two or more employees. Participation requirements apply. Please contact our office for details.
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Guardian Dental Plans Options 3 and 4
Additional dental plans available through Guardian for employer groups with two or more employees. Participation requirements apply. Please contact our office for details.
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Guardian Dental Underwriting Packet
This paperwork must be completed for all groups enrolling in one of the Guardian dental plans for employer groups.
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Independent Health 2010 Delta Dental Plan
The 2010 Delta Dental plan offered through Independent Health offers a single monthly premium of $38.45 and a family monthly premium of $92.76. Please call our office for requirements.
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Independent Health 2010 FlexFit Select
2010 rates for the Flex Fit Select with $10/$50/$100 prescription coverage.
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Independent Health Delta Dental Enrollment Form
Use this form to enroll in the Delta Dental plan.
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Independent Health Flex Fit Select Application / Change Form
Used for new enrollments and changes.
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MVP 2010 HMO Copay Group Plans
New 2010 plans and rates are now available. Please note these plans require special underwriting and participation requirements. Please call for details.
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MVP 2010 Preferred EPO and HD EPO Group Plans
New 2010 plans and rates are now available. Please note these plans require special underwriting and participation requirements. Please call for details.
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MVP 2010 Preferred EPO and TriVantage EPO Group Plans
New 2010 plans and rates are now available. Please note these plans require special underwriting and participation requirements. Please call for details.
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