LIA Health Alliance - Businesses

Consumer Driven Plans

Traditional Plan Summaries

Product Fact Sheets

Enrollment & Claim Forms

Provider Directories

Dental & Vision Plans

Formularies / Mail Order

Glossary of Terms

Site Resources & Tools

Please use the following form to get more information on membership in the
LIA Health Alliance.

Number of Employees:
Contact:
Title:
Company Name:
Business Address:
City:
State:
ZIP/Postal Code:
Telephone:
Fax:
E-Mail Address:
THANK YOU!

You may submit by clicking above or you can print and fill out the form
and fax it to (631) 493-3012 or send it to:

LIA Health Alliance
Enrollment Processing Center
48 South Service Road, Suite 301A
Melville, NY 11747

If you have any questions, please call 1-800-LIA-5513

Broker • Businesses with 2 or More Employees • Sole Proprietor • Employees

Medical Bridge • Consumer Driven Plans • Traditional Benefit Plan Summaries • Rates
Enrollment & Claim Forms • Provider Directories • Dental & Vision Plans • Formularies/Mail Order
FAQ • Glossary of Terms • Contact Form • Home

LIA Health Alliance Website 2009