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.
Narrow 33 results by
Agent of Record Confirmation Form
December 17, 2024 | Administration Forms
CDH File Feed Authorization Form
November 22, 2024 | Administration Forms
Employee Plan Enrollment Forms
December 17, 2023 | Administration Forms
For Medicare Enhance, HPHC group retire health product MA | NH | ME
Medicare Enhance Plan Enrollment Form - with Aetna PDP
October 27, 2022 | Administration Forms
Commercial Group Enrollment Form
November 20, 2020 | Administration Forms
Maine Medicare Supplement Enrollment Form
September 30, 2020 | Administration Forms
New Hampshire Medicare Supplement Enrollment Form
September 30, 2020 | Administration Forms
Medicare Supplement Request Enrollment Materials
September 30, 2020 | Administration Forms
Mass Medicare Supplement Enrollment Form
September 30, 2020 | Administration Forms
Pre-Sale/Post-Sale Employer Administration
July 14, 2020 | Administration Forms
Small Group Pre-Renewal Forms:
NH Large Group Pre-Renewal Form
My Plan Documents e-mail template for employer use
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)
Disabled Dependent forms & Instructions
Administrative Guide (MA, ME, NH)