Forms
HR Forms
We are proud to offer our clients complimentary access to PrimeHR Library (a $599/year value); an award-winning online reference center with valuable information on HR, employee benefits, employment law, tax and financial planning.- HR Forms Library (login required)
Quick Forms
- Aetna NJ Small Business Enroll/Change/Term
- Aetna NY Small Business Enroll/Change/Term
- Aetna PA Small Business Enroll/Change/Term
- Aetna DE Small Business Enroll/Change/Term
- AmeriHealth Enroll/Change/Term
- Delta Dental Enroll/Change/Term
- Guardian Enroll/Change/Term
- Guardian Evidence of Insurability
- Horizon BCBS of NJ Enroll/Change/Term
- IBX Enroll/Change/Term
- Oxford NJ Small Business Enroll/Change/Term
- Oxford NY Small Business Enroll/Change/Term
Group Insurance Forms*
- Aetna Small Business (2 - 50)
- Aetna Mid-Market (51 - 3,000)
- American General Life Companies (AIG)
- AmeriHealth (NJ, PA, DE)
- Assurant
- Cigna Member
- Cigna NJ
- Delta Dental
- Empire Blue Cross Small Group (NY)
- Empire Blue Cross Large Group (NY)
- Fort Dearborn
- Guardian
- Hartford
- Horizon BCBS
- Independence Blue Cross/Keystone
- MetLife
- Oxford NJ Small Group
- Oxford NY Small Group
- Rayant
- Sun Life Financial
- UnitedHealthcare Employer
- UnitedHealthcare Employee
- Unum
- VSP Employer
- VSP Employee
NJ Resources
- Carrier Liability: Coinsurance and 'MOOP' Credit
- Coverage of Young Adults up to Age 31
- Domestic Partnership Act Q & A
- NJ Continuation: Advisory Bulletin 07-SEH-02
- NJ Continuation Sample Packet (zip file)
- NJ Continuation Sample Packet (word file)
- NJ Continuation vs COBRA
- NJ Small Employer Health Benefits
- Termination of Small Employer Contract
- Understanding Rates in NJ
PA Resources
- PA Consumer’s Guide to Health Insurance
- PA Consumer’s Guide to Life Insurance
- PA Mini-COBRA
- PA Mini-COBRA Sample Packet (zip file)
- PA Mini-COBRA Sample Packet (word file)
NY Resources
- "Age 29" Dependent Coverage Extension
- NY Consumer Guide to Health Insurers
- NY Mini-COBRA
- NY Mini-COBRA Sample Packet (coming soon!)
DE Resources
COBRA Resources
Medicare Resources
- Medicare Open Enrollment Letter
- Medicare 2012 Guide
- Medicare 2012 Part D Plan Benefits
- Medicare and Coordination of Coverage
- Medicare Premiums and Deductibles for 2012
- Medicare - Determine your Monthly Premium
- Medicare - Preventive Services
- Medicare - Sample 'Creditable Coverage' Notification
- Medicare - Sample 'Non-Creditable Coverage' Notification
FSA, HRA, HSA Resources
- HSA, HRA and FSA Comparison Chart
- IRS: Information on HSAs, MSAs, FSAs and HRAs
- IRS: Qualified Medical Expenses
- IRS: Publication 969
- OTC Drug Changes due to Affordable Care Act
* This is only a partial list of the insurance carriers we represent; please contact us if the form you require is not listed.
Horizon Reporting IIBCBC OXHP Accumulator Horizon Horizon Rescinds
