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Forms
     
  Here are all of the forms from throughout the site collected together in one easy to use resource. Click on a form title to download the PDF file for printing. If you are looking for a specific form that is not here, please call 978-887-9651 or email us.
 
  PRODUCTS

Health insurance - employee enrollment forms
Blue Cross Blue Shield
Fallon Community Health Plan
Harvard Pilgrim Health Care
Neighborhood Health Plan
Tufts Health Plan

dental insurance - Employee Enrollment Forms
Blue Cross Blue Shield Dental
Delta Dental
 
Section 125 Flex plan
Flex Plan Brochure
Flex Plan Enrollment Form


  RESOURCES

Insurance Partnership
Insurance Partnership Brochure
Insurance Partnership Employer Application
Insurance Partnership Employee Application
Insurance Partnership Supplemental Affidavit
Insurance Partnership Citizenship Requirements

COBRA documents
Cobra Rules and Sample Letter
Cobra Election Form HSA
Cobra Election Form MBA
Blue Cross Continuation of coverage

additional documents
Employee Waiver of Coverage Form
Massachusetts Health Care Reform—What your business needs to know
Employee Health Insurance Responsibility Disclosure (HIRD form)
Massachusetts Dependent Eligibility Rules