Ready to Enroll Your Small Business? - Excellus Prospect

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Ready to Enroll Your Small Business?

Nested Applications

EXC-EMP-BRK-GRP- New Small Group Paperwork - Accordion Content

Commercial:

  • New Group ApplicationOpen a PDF
  • Signed rate sheets and benefit selections
  • Enrollment Forms
  • NYS-45 or other state equivalents from the most recently filed report
  • For a new employee, a current payroll report and W-4’s
  • Business check for the first month’s premium

Medicare:

Small Business - Ready to Enroll - Right Column Box

Need Help?

Our Expert advisors can help you find plans to meet your company's needs:

Binghamton:
1-877-208-5264

CNY/Utica:
1-315-671-7094

Elmira:
1-877-208-5268

Oneonta:
1-800-317-5658

Plattsburgh:
1-888-212-6156

Rochester:
1-585-339-7806

Watertown:
1-800-433-1488