Important Resources

Share the value of EmblemHealth’s plans and services with your clients. To request a complimentary stock of professionally printed versions of any of these pieces for your office, please contact your EmblemHealth representative.

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Large Group Applications

For groups with 101 or more full-time equivalent eligible employees

  • HIP Application for Large Groups

    HIP-underwritten large group plan

  • HIPIC Applications for Large Groups

    HIPIC-underwritten large group plan

  • EPO Value Applications for Large Groups

    HIPIC-underwritten plan

  • EPO Value HDHP Application for Large Group

    HIPIC-underwritten plan

  • GHI Application for Large Groups

    GHI-underwritten plan




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