- Affidavit of Domestic Partnership Legally establish a domestic partnership for the purposes of enrolling your partner on your health insurance plan.
- Direct Bill COBRA Paperwork COBRA and New York Continuation of Benefits billing.
- Disability Certification Form Certification of an unmarried child's disability and eligibility for continued coverage.
- Student Dependent Verification Form This form must be completed to verify that your dependent age 19 or over is a full-time student at an accredited college or university.
- Termination Request Form All subscriber terminations must be written on this form to be processed properly.