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:	72 kb
File Type:	pdf

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

PSHP Presentation for Clients & Prospects
File Size:	395 kb
File Type:	pdf

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

Group Medicare Quote Request Form
File Size:	11 kb
File Type:	xlsx

Benefit Grids & Rates

2026 PSHP Medical Rates & Benefits
File Size:	1533 kb
File Type:	pdf

2026 PSHP Rx Plans (Quotes Available Upon Request)
File Size:	522 kb
File Type:	pdf

Sponsorship & Enrollment Forms

PSHP Individual Enrollment Form - Medical + Rx
File Size:	111 kb
File Type:	pdf

PSHP Individual Enrollment Form - Medical Only
File Size:	93 kb
File Type:	pdf

PSHP Medical + Rx Sponsorship Packet
File Size:	460 kb
File Type:	pdf

PSHP Medical Only Sponsorship Packet
File Size:	432 kb
File Type:	pdf

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