| Title | PDF |
2010 Olean Chamber Open Enrollment Letter
|
|
BCBS Community Blue Plans for Olean Chamber
New 2010 plans and rates for BCBS Community Blue and POS 7100 Plans in the Olean Chamber. Please note these plans require special underwriting and participation requirements. Please call for details.
|
|
BCBS Frozen Plans for Olean Chamber
New 2010 rates for the existing BCBS HMO 104, POS 150D, and Traditional Blue Plans in the Olean Chamber. These plans are currently frozen and only available to groups that currently offer them in their portfolio.
|
|
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.
|
|
BCBS of WNY Underwriting for Groups
Please use this underwriting for all groups in the Olean Chamber when enrolling in a plan through BCBS.
|
|
BCBS of WNY Underwriting for Sole Proprietors
Please use this underwriting for all sole proprietors in the Olean Chamber when enrolling in a plan through BCBS.
|
|
Independent Health Chamber Enrollment form
Please use this enrollment form for all enrollments or changes in a chamber plan.
|
|
Independent Health FlexFit Plans for the Olean Chamber
Independent Health FlexFit Select plan comaprison for the Greater Olean Chamber of Commerce. Please note these plans require special underwriting and participation requirements. Please call for details.
|
|
Independent Health Underwriting for Sole Proprietors
Please use this underwriting for all sole proprietors in the Olean Chamber when enrolling in a plan through Independent Health.
|
|
Independent Health Undewriting for Groups
Please use this underwriting for all groups in the Olean Chamber when enrolling in a plan through Independent Health.
|
|
Univera AU 5 Plan for Olean Chamber
Active Univera AU 5 plan and rates for the Greater Olean Chamber of Commerce. Please note these plans require special underwriting and participation requirements. Please call for details.
|
|
Univera Underwriting for Groups
Please use this underwriting for all groups in the Olean Chamber when enrolling in a plan through Univera.
|
|
Univera Underwriting for Sole Proprietors
Please use this underwriting for all groups in the Olean Chamber when enrolling in a plan through Univera.
|
|
Univera Chamber Enrollment Form
Please use this Univera Application for all enrollments and changes through a Chamber plan.
|
|
Bene-Care Cancellation Form
Please use this form for all cancellation requests.
|
|
| | |