Enrollment

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​Open Enrollment is held annually from November 1 through 30,

for an effective date of January 1. 

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All new small business or individual/sole proprietor enrollment applications must include either an NYS45 payroll document,

a Schedule C, or a W4 issued to a new hire proving employment by the business.

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For questions related to plans, enrollment or forms, please call Crystal Herriman at 845-226-3083 ext. 2476, or email  CHerriman@marshallsterling.com.

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Enrollment Forms

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CDPHP

• Enrollment/Change Application - Can be completed online and printed.

• Pediatric Dental Waiver

• *New Groups* -Employer must complete these two forms:  Employer Group Size Attestation   Employer Group Application

 

MVP HEALTHCARE

• Individual or Sole Proprietor Medical Plan Application

• Individual or Sole Proprietor Dental Application

• Enrollment/Change Application - Small Business

• Small Business Dental Application

• Dental Waiver for small groups

• *New Groups* -Employer must complete this packet and attach to your NYS45:    New SubGroup Packet   

 

EMPIRE BLUE VISION PLAN  -  Enrollment Application for Vision plan

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GUARDIAN DENTAL - Enrollment/Change Application

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HIGHMARK BLUESHIELD OF NENY

• Enrollment Application

• New Employer Group Enrollment Form

 

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Billing and Payment

 

Premiums for health insurance are invoiced on a monthly basis through Business Services Corporation dba Benefit Choices. ​Bills are mailed mid-month covering the following month; payment is due on the first of the month. (i.e., February premium invoice is mailed mid-January and is due February 1.) Payments not received in a timely fashion may incur a late fee of $25.  Coverage may be terminated if payments are more than 30 days past due.

 

We offer two payment methods:  

• A Check can be mailed using the envelope provided with your invoice. All payments should be mailed to Benefit Choices, PO Box 10145, Albany, NY 12201.

• Electronic Payment - By completing our Authorization Form, you can elect to have your monthly premium electronically deducted on the first business day of each month. Return this Authorization form to Stephen Conard at Marshall & Sterling at sconard@marshallsterling.com.

 

For billing or payment questions, or to obtain a copy of your invoice, please call Stephen Conard at Marshall & Sterling, 518-289-6118 or email at sconard@marshallsterling.com.

 

 

 

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