CCSNYS Health Plan Offerings for Groups of 2 or More

 
 

 

In order to enroll in any Council of Community Services Insurance plan, you must also fill out an Agency Resolution Form 2008 and a Member Information Form 2008 as well as the appropriate enrollment form.  The most recent copy of your NYS-45 is also required.  Please also note that there are seperate offerings for Sole Prop groups.

MVP HMO & EPO 2008
HMO

Monthly Payments by Region (Capital Area, Hudson Valley, Central) **

Download the following forms as PDFs

Benefit Summary
Enrollment Form

EPO

Monthly Payments by Region (Capital Area, Hudson Valley, Central) **

Download the following forms as PDFs

Benefit Summary

Enrollment Form


 

CDPHP HMO & EPO 2008

HMO           

Monthly Payments by Region (Capital Area, E. Hudson Valley, Central) **

Download the following forms as PDFs


Enrollment Form

Benefit Summary

EPO

Monthly Payments by Region (Capital Area) **

Download the following forms as PDFs

Enrollment Form

Benefit Summary

 

Blue Shield HMO 2008

HMO

Monthly Payments by Region (Capital Area) **

Download the following forms as PDFs

Benefit Summary (HMO 206 Column)
Enrollment Form - This form must be an original and can be obtained through Council of Community Services or Council Services Plus.


 

** *Above fees include monthly administrative costs. Please contact us at
      (800) 515-5012 for more information.

 

Last Updated: May 22, 2008