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USFSB Insurance Forms

Here you will find the latest insurance forms for all carriers provided by USFSB as well as the USFSB insurance rules and guidelines. If you are unsure if you are using the correct form, contact us using our online contact form or call us at 1-800-637-3331.

USFSB Insurance Guidelines
USFSB Insurance Rules


Carrier Applications

Aetna
American Progressive
Atlantis Health Plan
Atlantis Health Plan (1+)
BlueCross BlueShield of Western NY
BlueShield of Northeastern NY
Capital District Physicians' Health Plan
Davis Vision
Emblem Health
Empire HealthChoice, Inc.
Excellus Group BCBS Central NY
Excellus Group BCBS Utica/Watertown
GHI, Inc.
HIP of Greater New York
Independent Health Western New York
MVP Health Plan
MVP Rochester
Neighborhood Health Plan
United Healthcare
USFSB Member Dental Program

HealthyNY Applications


Aetna HealthyNY
Empire HealthChoice, Inc. HealthyNY
MVP Health Plan HealthyNY

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