Forms

• 2025 Excellus What You Need To Know
• 2025 Excellus Small Group Product Guide
• 2025 SG Thrive Well Employee Guide
• Group Information Form
• Q4 2024 Excellus Small Group All Plans
• Q4 2024 Excellus Small Group Plans - HSA
• Q1 2025 Excellus Small Group Plans
• Q1 2025 Excellus Small Group Plans - HSA
• Blue365 Brochure
• Eligibility Policy Form
• Excellus Mobile App
• Exercise Rewards Member Flier
• Exercise Rewards Reimbursement Form
• Exercise Rewards Q & A
• Prescription Drug Claim Form
• Excellus Medical Claim Form
• Members Guide to CDHC Brochure

• Understand Your HDHP Flyer
• HDHP-HSA Brochure
• HDHP Tip Sheet
• HDHP Preventive Health Poster
• Excellus Health Spending Accounts Comparison

Dental

• Excellus Dental Claim Form
• 2024 Q1 Dental Options - Employer Sponsored
• Pediatric Dental Explained
• Wellness Fact Sheet

Vision

• 2024 Simply Vision Employer Brochure

• Marketplace Differences Chart for Individual vs Small Group

• Small Business-Owners Guide to Health Insurance Business Survival Guide

• 2024 Excellus Individual Options ROC
• Univera Individual Rewards
• Excellus Individual Rewards
• 2024 Excellus Pre-OE PP
• 2024 Excellus Individual Dental Plans
• 2024 MVP Individual Plans - Rochester
• 2025 MVP Individual Plans - Rochester
• 2024 MVP Individual Plans - Syracuse
• 2025 MVP Individual Plans - Syracuse
• 2024 MVP Individual Plans - Buffalo
• MVP One Time Direct Debit Form
• MVP Qualifying Event for SEP NY Affidavit

Medicare

• Destination 65 Brochure
• Items and Services Not Covered Under Medicare
• Turning 65 Educational Overview
• 2024 Medicare and You
• Medicare What You Need to Know
• 2024 Medicare Costs
• Fact Sheet - Enroll in Part A & B
• Part B Outpatient Services Payment
• Application for Part B Enrollment
• Medicare Basic Flyer
• Who Pays First

• 2025 MVP Broker Product Highlights & Changes Overview
• Q1 2025 MVP Small Group Plans - Rochester
• Q1 2025 MVP Small Group Plans - Buffalo
• Q1 2025 MVP Small Group Plans - Syracuse
• MVP Preventive Health Services
• MVP $0 Drugs for Preventative Care
• MVP $600 WellBeing Rewards

• MVP Wellness Features Brochure
• Pharmacy Benefits Overview Flyer
• MVP Preferred Providers Directory
• Service Area Map NY SG EPO PPO
• Service Area Map NY SG HMO

Dental

• 2025 Q1 MVP SG Pediatric Dental Options

• How To Complete the DB450 Claim for Disabillity
• FMLA vs PFL Infographic
• DBL vs PFL Infographic
• PFL Statement of Rights
• PFL Claim Form
• DBL Claim Form

• ABCs of PFL
• ABCs of DBL
• PFL Webinar for Employers
• PFL Need to Know for Employees
• 2024 ShelterPoint DBL-PFL Guide