Resource Center
Select a state first (BY STATE), followed by group type (BY GROUP). Then choose a specific plan type (BY PLAN). Use “More ways to filter” or enter terms in the search bar to narrow your results.
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Agent of Record Confirmation Form
December 17, 2024 | Administration Forms
Medicare Enhance Plan Enrollment Form - with Aetna PDP
October 27, 2022 | Administration Forms
Commercial Group Enrollment Form
November 20, 2020 | Administration Forms
Medicare Supplement Request Enrollment Materials
September 30, 2020 | Administration Forms
Mass Medicare Supplement Enrollment Form
September 30, 2020 | Administration Forms
Medicare Supplement and Medicare Advantage Broker of Record Form
August 28, 2019 | Administration Forms
Employee Plan Enrollment Forms
July 10, 2019 | Administration Forms
Pre-Sale/Post-Sale Employer Administration
July 10, 2019 | Administration Forms
Small Group Pre-Renewal Forms:
NH Large Group Pre-Renewal Form
Identification of Third Party Authorization
Health Care Coverage Waiver Forms:
MA Small Business Confirmation if WR-1 is not available
Group Information Form – Commercial – Commercial (PDF)
Group Information Form – Commercial– Commercial (Word version)