Product portfolios and brochures
Product Portfolios
2024
Additional Brochures
2024
Vision and Dental Resources
Applications, Waivers, Affidavits
- Small Group Sold Checklist
- Underwriting Guidelines
- Small Group Business Application (2024)
- Enrollment/Waiver Form (2024)
- Start-Up Business Affidavit
- Domestic Partner Affidavit
- New Employee Affidavit
- Group Size Affidavit
- Certification of Eligibility to Combine and Employer Group Size
- Termination Request Form
Additional Resources
Need More Information?
Ask your account executive for more information, or call us at 1-888-249-2583
Jenna Willis
Phone: 716-713-089
Email: Jenna.Willis@highmark.com