|
 |
|
|
| |
To Apply for The Insurance Partnership:
| I. |
Complete the applications. You will need to fill out both the Employer Application, and your eligible employees will have to fill out a Medical Benefit Request form (MBR). If you don’t have these applications, please call us or download the applications from our web site.
|
| II. |
Gather the necessary paperwork:
Businesses with employees will need to provide a copy of your WR-1 listing employees, a copy of your health insurance bill, or a quote for health insurance if you don’t currently offer health insurance. Your employees will need to provide along with their completed MBR:
1) copies of their 2 most recent pay stubs
2) appropriate proof of identification and/or citizenship - please call for details, and
3) the Insurance Partnership Supplemental Affidavit.
Self-employed will need to submit copies of last year’s tax returns including Schedule C (if you are a new business - please call us), a copy of your health insurance quote, both the Employer Application and MBR, appropriate proof of identification and/or citizenship - please call for details, and the Insurance Partnership affidavit.
|
| III. |
Call customer service at the number below to make sure that your applications are complete.
|
| IV. |
Mail your completed applications to:
The Insurance Partnership
2 Hampshire Street, Suite 100
Foxboro, MA 02035
Telephone: 1-800-399-8285 or 508-698-2070 |
|
| |
Some contents require Adobe Acrobat to view.
Please click here to download acrobat |
|
|
|
