MACMAN Insurance Associates (203) 384-9000

585 Villa Avenue, Fairfield, CT 06825

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Group Insurance - Medical

Group Insurance - Dental

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Individual - Dental

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CBIA
CBIA Enrollment Forms (3-50 lives)
Employer Master ApplicationEmployer Membership/Dues Form
Employee Enrollment FormCOBRA Forms
Family Health StatementStudent Verification Form
CBIA Brochures - Plan Benefits
CBIA Brochure 2011
Anthem Blue Cross Blue Shield
Group Master ApplicationGroup Employee Termination Form
Employee Enrollment FormEmployee Health Statement
Anthem Lumenos HSA Plan
Preventive Care Benefits
Road Rules
Lumenos HSA Plan (ppt)
Preventive Care Summary
Oxford (United HealthCare)
Connecticut
Group Application-OHI (Freedom Direct, HSA Direct, OXF. USA)Group Application OHP (HMO, Freedom, CT Blue Ribon)
Employee Enrollment OHIEmployee Enrollment OHP
Family Health Statement
Addition/Termination/Change formWaiver Form
Aetna
Group ApplicationEmployee Enrollment
Family Health Statement
CONNECTICARE
Ccare Group Application Enrollment FormFamily Health Statement