LIA Health Alliance - Sole Proprietor

RESOURCES/TOOLS

One Stop Shopping for Sole Proprietors

The LIA Health Alliance is New York’s Health Insurance Exchange … the ultimate health insurance marketplace for sole proprietors. The sole proprietor target market is Long Island, New York City, Westchester and Rockland. The Exchange offers Sole Proprietors a variety of health insurance benefit plans from competing insurers: Emblem Health, GHI, HIP, Atlantis Health Plan and UnitedHealthcare/Oxford. With the Exchange, Sole Proprietors also have access to a Comprehensive Vision Plan through DavisVision.

Select! Don’t Settle!

Sole Proprietor Benefit Plan Rates

Enrollment and Correspondence Address:
LIE Enterprise
Enrollment Processing Center
48 South Service Road
Suite 301
Melville NY 11747
1-800-431-1290
Fax (631) 249-6529

Bill Payments Address:
LIE Enterprise
P.O. Box 48335
Newark, NJ 07101-4835

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

Benefit Plan Summaries

Low Option HMO Plans 1 & 2

High Option HMO Plan 3

Emblem PPO HSA $5,000/$10,000-100%/80%

Emblem EPO $10,000

Emblem EPO HSA $5,800/100%

HIP - New Business

Plan #1 - Prime HMO 30/50 1000 Rx $300 Ded 20/30/50

Plan #2 - Select PPO 30/50 IN 2000 Rx $300 Ded 20/30/50

Plan #3 - Select PPO 30/50 IN 2000 Rx $100 Ded $10 Generic Only

Small Business Advantage Plan PPO 30/1000 (2nd Quarter 2010)

Liberty Plan Direct

Exclusive Metro Plan (with Deductible and Coinsurance)

Freedom Plan HSA Direct

Freedom HSA Exclusive

Required Documentation

Required Documentation for New Business

Required Documentation for New Business

Enrollment Forms

LIA Enterprise Membership Agreement (June 2010)

Atlantis Enrollment Form

Emblem Health Enrollment Form

GHI Letter of Certification

GHI Enrollment Form

GHI CDHP Employer Group Set-Up Form

HIP Enrollment Application

2010 Oxford Sole Proprietor Agreement

Oxford NY Member Enrollment Form

Oxford NY Sole Proprietor Application

Oxford Authorization

Renewal Letters

September 2010 Oxford Renewal Letter

Additional Information

2010 Sole Proprietor Tri-Fold

Max Age for Dependents and Full Time Students

Resources/Tools

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