top of page

J.Pappas Payments

OUR WEBSITE PORTFOLIO

ONLINE ORDERING

DELIVERY INTEGRATION

JPAPPAS.COM

J.Pappas Health

LARGE GROUP ACA

DENTAL / VISION

CONTACTS

PROVIDER

CARRIER LINK

FORMS

HEALTH INSURANCE - SMALL GROUP

SMALL GROUP CENSUS FORM

ENROLLMENT FORMS

1. CERTIFICATION

2. EMPLOYER APPLICATION

3. EMPLOYEE ENROLLMENT

5. DENTAL APPLICATION

OTHER FORMS

TERMINATION FORM

VERIFICATION - RENEWAL POLICY

DEBIT AUTHORIZATION

GROUP ENROLLMENT CHECKLIST

COBRA ELECTION FORM

OXFORD PROVIDER SEARCH

oxford health plans

ENROLLMENT FORMS

1. CERTIFICATION

2. EMPLOYER APPLICATION

3. EMPLOYEE ENROLLMENT

5. DENTAL APPLICATION

6. DENTAL SUMMARY OF COVERAGES

7. VISION APPLICATION

8. AUTOMATIC PAY PLAN

OTHER FORMS

CONVERSION FORM

HSA DECLARATION OF UNDERSTANDING

HSA SELECTION FORM

COBRA ELECTION FORM

HORIZON PROVIDER SEARCH

ENROLLMENT FORMS

1. CERTIFICATION

2. EMPLOYER APPLICATION

3. EMPLOYEE ENROLLMENT

5. COBRA ELECTION FORM

AMERIHEALTH PROVIDER SEARCH

ENROLLMENT FORMS

1. ENROLLMENT QUESTIONNAIRE

2. EMPLOYEE ENROLLMENT

4. CARVE OUT FORM

AETNA ADMIN PROVIDER SEARCH

CIGNA PHARMACY LIST

ENROLLMENT FORMS

1. EMPLOYER CERTIFICATION

2. EMPLOYER APPLICATION

2. EMPLOYER APPLICATION NY

3. EMPLOYEE ENROLLMENT NY

OTHER FORMS

PROOF OF ELIGIBILITY

AETNA AFA MEDICAL AND STOP LOSS APPLICATION

AFA ENROLLMENT FORM

COBRA ELECTION FORM

AETNA AFA PROVIDER SEARCH

HEALTH INSURANCE - LARGE GROUP MV/ACA COMPLIANT PLANS

Minimum Essential Coverage Plan (MEC):

MEC Plan Options

MEC Plan Benefit Highlights

MEC Companion Card

Dental & Vision Plan:

Preventive & Comprehensive Dental Plan

Vision Plan Summary

MV Plan:

MV Plan Options

Group Application Form-MV

Administrative Services Agreement

Census Template-MV

HEALTH INSURANCE - INDIVIDUAL

AARP ADVANTAGE PPO:

AARP Medicare Advantage PPO

AARP Advantage PPO Enrollment

AARP Medicare Advantage HMO-POS

AARP PDP:

AARP PDP Summary of Benefits

AARP PDP Enrollment Form

INDIVIDUAL FORMS

AARP SUPPLEMENTAL:

AARP Benefit Summary Plan G

AARP Supplemental Guide

AARP Guide to Supplemental Insurance

AARP Supplemental Change Form

AARP 2023-2024 Medicare Supplemental Rates

AARP 2023-2024 Medicare Supplemental Enrollment Kit

AARP 2023-2024 Medicare Supplemental Enrollment Kit- no wellness

IND 2024 DENTAL AND VISION APPLICATION

IND 2024 DENTAL AND VISION BROCHURE

2024 IND MONTHLY PREMIUM RATES

2024 IND MEDICAL APPLICATION

2024 IND HEALTH BROCHURE

REQUEST FOR TERMINATION

HORIZON PROVIDER SEARCH

HEALTH INSURANCE - UNION

2022 UNION PLAN RATES & BENEFITS

HIP HMO PRIME LOW ENROLLMENT

CIGNA AND BLUE CARD ENROLLMENT FORM

EWA SOLSTICE ENROLLMENT KIT

PREMIER PLANS REFERENCE SHEET

bottom of page