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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 Member Application
USFSB Insurance Guidelines
USFSB Insurance Rules


Carrier Applications

Aetna
Atlantis
Atlantis JRC
BlueCross BlueShield Western NY
BlueShield Northeastern NY
Capital District Physicians Health Plan
Emblem Health
Empire HealthChoice, Inc.
Excellus Group BCBS Central NY
Excellus Group BCBS Utica/Watertown
HIP of Greater New York
Independent Health Western New York
MVP Health Plan
Neighborhood Health Plan
Oxford Sole
United
USFSB Member Dental Program
Davis Vision


Medicare Applications

BlueShield Northeastern NY
MVP Medicare
Tufts Medicare Complement
Tufts Medicare HMO
Tufts Medicare PPO



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