RESOURCE CENTER

Installation Forms
email download
Tax Form Submissins for 2-50 size NJ employers
As part of the group enrollment process, Oxford requires that New Jersey small groups submit tax documentation to verify that the group meets the eligibility requirements for healthcare coverage.
email download
Tax Form Submissions for 2-50 size NY employers
As part of the group enrollment process, Oxford requires that New York small groups submit tax documentation to verify that the group meets the eligibility requirements for healthcare coverage.
email download
09.24.2012
Oxford BOR letter
Sample of Broker of Record letter to be used for existing Oxford clients. No other version will be acceptable.
email download
03.05.2012
NJ Waiver of Coverage
Oxford branded waiver of coverage form, to be completed by an employee choosing NOT to enroll in the employer sponsored Oxford health plan. Valid waivers are spousal, Dep to 26, Medicare/AID, Union, or Government.
email download
03.05.2012
NY Waiver of Coverage
Oxford branded waiver of coverage form, to be completed by an employee choosing NOT to enroll in the employer sponsored Oxford health plan. Valid waivers are spousal, Dep to 26, Medicare/AID, Union, or Government.
email download
03.05.2012
NY Small Group (2-50) Application - OHP
Oxford branded installation form to be completed by employer for new 2-50 NY based eligible business with HMO/POS products.
email download
03.05.2012
NY Small Group (2-50) Application - OHI
Oxford branded installation form to be completed by employer for new 2-50 NY based eligible business with a PPO product.
email download
03.05.2012
NY Community-Rated SMall Group (2-50) Application - OHP
Oxford branded installation form to be completed by employer for new 2-50 NY based eligible business with community rates.
Email Document

Email sent successfully!

close
Email Document