info@michaels-associates.com
914.273.4723
 
 
 
 
   
Empire Claim Form
Empire Coordination of Benefits Form
Empire Dental Claim Form
Empire Downstate Member Enrollment Change Form
Empire Enrollment Form
Empire 2 - 50 Employees PPO Downstate Benefit Summary
Empire 51+ Employees Total Blue Choice (HSA) Downstate Benefit Summary
   
Empire Full Time Student Form
Empire Large Group Guidelines & Credentialing Info
Empire Medical Claim Form
Empire Rx Claim Form
Empire Rx Mail Order Form
Empire Small Group Guidelines & Credentialing Info
Empire Small Group Re-credential Form
Empire Upstate Member Enrollment Change Form
 
 
 
        
 Disclaimer
Stephen Michaels is a registered representative of, and offers securities through Woodbury Financial Services, Inc.,
PO Box 64284, St. Paul, MN 55164-0284, (651) 738-4000. Member NASD, SIPC and Registered Investment Adviser.