Broker resources

• New and renewing business 5-day calendar
  A calendar of effective dates and paperwork due dates for 2011 and the beginning of 2012 
• Employer application forms
  Printable PDF applications for both small and large employer groups.
• Membership transaction forms
  Use these printable applications to enroll new members or change or end coverage for an existing member.
• Download an FCHP logo for your Web site 
• Minimum creditable coverage FAQ (pdf, 35 KB)
• HMO 101 handbook (pdf, 1.2 MB)
• SIC attestation form (pdf, 22 KB)
• National health care reform flyer (pdf, 78 KB) 
• Broker of Record letter template (pdf, 33 KB)