Hampshire Group Insurance Trust Files & Forms
Health Insurance Forms
Health & Rx Insurance Information - July 1, 2024
- Blue Care Elect Preferred PPO - Benefits Summary.pdf
- Blue Care Elect Preferred PPO - SBC Summary.pdf
- Understanding a PPO Plan.pdf
- Network Blue New England HMO - Benefits Summary.pdf
- Network Blue New England HMO - SBC Summary.pdf
- Understanding a HMO Plan.pdf
- CVS Caremark HMO-PPO Prescription Summary.pdf
- CVS Caremark Mail Order Form for HMO and PPO Plans.pdf
- CANARX Member Enrollment Package.pdf
- CANARX Formulary.pdf
Supplemental Plan Information - EFFECTIVE JANUARY 1, 2025
VOLUNTARY: Dental & Vision Benefits Info - JULY 1, 2023 thru June 30, 2025
- Delta Dental - High Plan - Enrollment Booklet.pdf
- Delta Dental - Core Plan - Enrollment Booklet.pdf
- Delta Dental - PPO Plan - Enrollment Booklet.pdf
- Delta Dental - 3 Plans Side-By-Side Comparison.pdf
- Dental and Vision Enrollment Form .pdf
- MetLife Vision Benenfits Summary.pdf
- MetLife Vision Rates.pdf
- MetLife Vision MyBenefits How To Register Instructions.pdf
- MetLife Vision Eyeconic Flyer.pdf
BCBS Useful Tools & Added Benefits
- Trust Guide on Medicare Requirements.pptx
- MyBlue App Facts.pdf
- MyBlue App FAQ.pdf
- Teleheath - Well Connection.pdf
- Telehealth Member Brochure.pdf
- Virtual Primary Care Fact Sheet.pdf
- 24-Hour Nurse Line Information.pdf
- Flu Vaccine Fact Sheet.pdf
- Worldwide Coverage - BlueCard Program Brochure.pdf
- Ahealthyme.pdf
- Learn to Live.pdf
- ER Diversion Medical Care Options Fact Sheet.pdf
- Emergency Room Alternatives Fact Sheet.pdf
- Blue365 - FREE Savings Deals and Discount Offers.pdf