Agents & Brokers


Broker Agreement & Packet


Broker Agreement Short Form


Broker Agreement Long Form


Broker Agreement Form WC Adendum


BOR - Group Coverage (Word)


BOR - Greater Metro Agency (Word)


BOR - Benefit Mall (Word)


Consumer Report Authorization


NY Regulation 194 – Producer Compensation Disclosure Statement  


NY Regulation 194 – Producer Compensation Disclosure Letter


Certificates of Insurance


Health Connect


Member Access Only


Benefits

Aetna


Provider Search


Rx List/Formulary


Forms


Emblem


Provider Search


Rx List/Formulary


Forms & Downloads


News


Empire Blue Cross/Shield


Provider Search


Rx List/Formulary


Forms


Dependent Special Enrollment


BOR - Empire Small Group (Word)


BOR - Empire Large Group (Word)


Oxford Benefit Management


Dental Provider Search


Vision Provider Search


Employer Forms


Oxford Health Plans


Provider Search–Oxford Webiste


Rx List/Formulary


General & HIPAA Forms


NY Small Group Health Plan Forms  


NY Large Group Health Plan Forms


BOR - Oxford/Greater Metro (Word)


BOR - Oxford/Benefitmall (Word)


HealthPass

Enrollment Form


Claim Forms

C-2 (NYS WC Claim Form - Employer)


C-3 (NYS WC Claim Form  - Emplyee)


NY - HIPAA Form


DB - 450


COBRA

My COBRA Help Login

DOL Website (COBRA)

COBRA Model Notices


COBRA Election Notice


Group Benefits Compliance


Reporting and Disclosure Guide for Employee Benefit Plans


CHIPRA


Credible Coverage


Model Language for Notice of Opportunity to Enroll in connection with Extension of Dependent Coverage to Age 26


General Forms


Search.USA.gov Forms


Motor Vehicles


MV-104


NY DMV - DTF - 802


Tax Forms


DOL Forms Library


IRS Forms & Publications


W-9


I-9 English Version


I-9 Spanish Version


W-4 (2011)


NY - IT 2104 (2011)


941 (2011)


Workers’ Comp Forms & Manuals


Workers’ Comp Forms


New York


ERM-114


Exclusion Form


C-2 Claim Form


C-3 Claim Form


C-4 Health Providers


NYSIF WC Application


NYSIF Volunteers Firefighters Application


What Business Owners Must Know About WC


Claimant’s Authorization to Disclose Health Info


NYSIF Forms

Connecticut


Notice to Employees


Employer’s First Report of Occupational Injury


Form 1A


Form 6B


Form 6B-1


Employer Medical Care Plan Information Act


Authorization for the Release of Medical Info


Workers’ Comp Manuals, Handbooks, and Guidelines


New York


NY Workers’ Compensation Board Employers’ Handbook 2010


Instructions for Completing Form I-9


What Business Owners Must Know About Workers’ Compensation (New York WCB)


NY Carrier Code Numbers (Board Assigned W Numbers)


Connecticut


An Employee’s Pocket Guide to CT Workers’ Compensation


Bulletin No. 48 State of Connecticut Workers’ Compensation as Amended to 01/01/09

CT Workers’ Compensation Information Packet