LIA Health Alliance - Sole Proprietor

RESOURCES/TOOLS

One Stop Shopping for Sole Proprietors

The LIA Health Alliance is the ultimate health insurance marketplace for sole proprietors. The sole proprietor target market is Long Island, New York City, Westchester and Rockland. The LIAHA offers Sole Proprietors a variety of health insurance benefit plans from competing insurers: Emblem Health, GHI, HIP, Easy Choice Health Plan of New York Health Plan and UnitedHealthcare/Oxford. With the LIAHA, 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:
LIA Health Alliance
Enrollment Processing Center
48 South Service Road
Suite 301
Melville NY 11747
1-800-431-1290
Fax (631) 249-6529

Bill Payments Address:
LIA Health Alliance
Client ID 407
P.O. Box 5050
New Britain, CT 06050-5050

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

Benefit Plan Summaries

Easy Choice Health Plan of New York

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%

Plan A - Select PPO 30/50 IN 2000; No RX

Plan B - HIP Select PPO 30/50 IN 2000 Rx $300 Ded 20/30/50

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

Small Business Advantage Plan PPO

Liberty Plan Direct - Plan 1

Exclusive Metro Plan - Plan 2 (with Deductible and Coinsurance)

Freedom Plan HSA Direct - Plan 3

Freedom HSA Exclusive - Plan 4

Required Documentation

Easy Choice Health Plan of New York, Emblem Health and HIP

Required Documentation for New Business and Renewals

Required Documentation for New Business and Renewals

Enrollment Forms

Please view the required documenation above for New Business and Renewals

2012 Sole Proprietor Agreement

2011 Sole Proprietor Agreement

Easy Choice Health Plan of NY Enrollment Form

Easy Choice Health Plan of NY Previous Insurance Coverage Form

Emblem Health Enrollment Form

Emblem HSA Empoyer Set-Up Form (fees waived for Emblem members)

Emblem HSA Application (fees waived for Emblem members)

GHI Letter of Certification

GHI Enrollment Form

HIP Enrollment Application

2012 Oxford Sole Proprietor Agreement

Oxford NY Member Enrollment Form

Oxford NY Sole Proprietor Application

Oxford Authorization

Oxford Attestation Form

Renewal Letters

February 2012 Renewal Letter

January 2012 Renewal Letter

Resources/Tools

© 2011 LIA Health Alliance. All Rights Reserved.