Health Insurance Services Inc
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  • Home
  • Our Strategies
    • Group Retiree Healthcare
    • Premier Senior Health Plan >
      • Benefit Grids (PDF)
      • Forms and Resources >
        • Eligibility
    • Pharmacy Management & Specialty Drugs
  • How to Work With Us
    • Brokers & Advisors
    • Plan Sponsors & Employers
    • Healthcare & Insurance Companies
  • About
    • Staff Directory
    • Client Testimonials
    • Accessibility Statement
  • Contact


Forms and Resources

Contact Us

​Easy Resource Page

PSHP plans are unique and comprehensive, and are geared toward groups with members over age 65 enrolled in Medicare Parts A and B.

​What is PSHP?

​For your convenience, we encourage you to use this "easy resource" page for benefit grids, plan designs, and enrollment forms. Simply click on the appropriate pdf link. Should you need more information, please call: (855) 344-7747.

Getting Started

PSHP Features and Requirements
File Size: 148 kb
File Type: pdf
Download File

Services Provided to Contracted Brokers
File Size: 142 kb
File Type: pdf
Download File

Group Medicare Quote Request Form
File Size: 12 kb
File Type: xlsx
Download File

Benefit Grids & Rates

PSHP 2020 Benefit Grids & Rates
File Size: 1066 kb
File Type: pdf
Download File

2020 Enrollment Forms

PSHP New Group Enrollment Kit - Medical & Rx
File Size: 1222 kb
File Type: pdf
Download File

PSHP New Group Enrollment - Medical Only
File Size: 843 kb
File Type: pdf
Download File

PSHP New Group Enrollment Kit - Rx Only
File Size: 998 kb
File Type: pdf
Download File

Rx Group Enrollment Kit for Current PSHP Medical-Only Sponsors
File Size: 863 kb
File Type: pdf
Download File

PSHP Individual Member Enrollment Form (Medical and-or Rx)
File Size: 70 kb
File Type: pdf
Download File

(888) 344-2522​
306 S. Washington
Suite 206
​Royal Oak, MI 48067​
Click Here to Email Us

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Health Insurance Services Inc ​
306 S. Washington
Suite 206
​Royal Oak, MI 48067​
(888) 344-2522​
Click Here to Email Us

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