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Healthfirst Insurance Downloads

Please use the links below to download the Healthfirst forms, applications, or information you need.

Forms

2021 Small Group Add/Change/Delete Form
2021 Small Group Waiver Form
2021 Small Group ACH Form
2021 Small Group Underwriting Guidelines

Applications

2021 Small Group Employee App
2021 Small Group Employer App

Plan Info

2021 Pro Plan Overview
2021 Pro Plus Plan Info
2022 Q1 Pro Plan Overview and Rates
2022 Q1 Pro Plus Plan Overview and Rates

Rate Sheets

2021 Q3 Pro Plan Rates
2021 Q3 Pro Plus Plan Rates
2021 Q4 Pro Plan Rates
2021 Q4 Pro Plus Plan Rates
2022 Q1 Pro Plan Overview and Rates
2022 Q1 Pro Plus Plan Overview and Rates
2023 Q1 Pro Plan Overview and Rates-LI
2023 Q1 Pro Plan Overview and Rates-NYC
2023 Q1 Pro Plus Plan Overview and Rates-LI
2023 Q1 Pro Plan Overview and Rates-NYC

Insurance Solutions

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About CAI

180 East Main Street, Suite 205
Patchogue, NY 11772
(800) 427-5358

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All health plan, insurance coverage information, or otherwise is subject to carrier approval and/or NYSID approval. For complete coverage information, always refer to the certificate of insurance. Neither Conference Associates, Inc. (CAI)/ELITE Programs Inc. (ELITE), nor its web administrators may be held liable for typographical errors.

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