This page will allow you to download a more detailed plan description
for the products quoted, and the Insurance Application Forms.

These forms are in Adobe© Acrobat format. If you do not have the Adobe©
 Acrobat reader, please click the link below and download the FREE reader.

                                             

After opening the forms in Acrobat, please click the print button. Follow all
instructions on the cover letter.

Form Name Where it Applies
Ultracare-PPO New York or New Jersey
Unicare-PPO New York or New Jersey
Horizon-EPO New York or New Jersey
Aetna-POS New York or New Jersey
HIP-HMO New York (Self Employed Only)
GHI-EPO New York (Self Employed Only)
Atlantis New York (Self Employed Only)
MDNY New York (Self Employed Only)

If you have any questions, do not hesitate to call your local representative
toll free at 1-888-766-6932 or email us at sonnyhenninginsurance@comcast.net