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PPO/EPO New Business Enrollment Kit

HMO New Business Enrollment Kit

PPO Individual Application

HMO Individual Application

Member Record Change Form – Small Group

Member Record Change Form – PPO Individual

Member Record Change Form – HMO Individual

Helpful Links

Full-Time Equivalent Calculator

Medicare Website

Department of Labor – COBRA Continuation Health Coverage FAQ’s

Michigan Department of Insurance and Financial Services

Order Supplies

Medicare Kit Order Form

Enrollment Kit Order Form

Upcoming Training

Small Group:
2/21, 3/21, 4/18

Individual and Medicare:
2/28, 3/28, 4/25

2018 HAA Training Schedule

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Important
Deadlines

Personal Alliance
  • Open Enrollment: 11/1/2017 – 12/07/17
  • Special Enrollment Period: SEP Breakdown PDF
Medicare
  • Advantage Open Enrollment: 10/15/2017 – 12/07/17
  • Special Enrollment Period:  Last day of the month for the following month’s effective date
  • Medicare Supplement Enrollment: 30 day lead time for following month’s effective date
New Business Submission

Small Group New Business Submission Deadline

Small Group Renewal

Small Group Renewal Timeline

Who is HAA?

Main Office Number:
(866) 766-4656

Toll free: (866) 766-4656 | Fax: (248) 675-4615 | 39500 High Pointe Boulevard, Suite 400 | Novi, MI 48375

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