NY Office - 516-352-7000

NJ Office - 973-257-5558

fna@fnainsurance.com

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Waiver Forms required effective 3/15/12 for ALL products For groups that are selecting OHP products (HMO and POS) only, we will relax the requirements for paper copies or uploads of valid waiver forms. For future reference, please remember that valid waivers are defined as Spousal, Medicare, Medicaid and Veterans, and must be submitted.

Please note, all new business received for March 15, 2012 effective dates forward will need to use the updated applications and submit valid waivers for ALL products. Lastly, we will not be making any exceptions to the above, so please be sure to submit the proper documentation to avoid delays in obtaining approval. If you have questions about this information or the following Special Notice, please contact your Oxford sales representative.