Forms and Resources - Health Insurance Services Inc

Forms and Resources

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 One-Page Overview
File Size:	160 kb
File Type:	pdf

PSHP Broker FAQ
File Size:	175 kb
File Type:	pdf

PSHP Presentation for Clients & Prospects
File Size:	1308 kb
File Type:	pdf

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

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

Benefit Grids & Rates

2024 PSHP Medical Rates & Benefits
File Size:	1872 kb
File Type:	pdf

Enrollment Forms

PSHP New Group Enrollment Packet - Medical & Rx
File Size:	1240 kb
File Type:	pdf

PSHP New Group Enrollment Packet - Medical Only
File Size:	589 kb
File Type:	pdf

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

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