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BROKER SERVICES

CAI Offers General Agent and Broker-Support Services to Insurance Brokers Throughout New York State.
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Forms

• Claim Form

• Group Attestation Form

• Member Change Form

Applications

• Access Individual Enrollment form (with rates)

• Group Application

• Group Omni Plan Enrollment Packet

• Group Select Plan Enrollment Packet

• Individual CapDent Enrollment Form (with rates)

• Select Individual Enrollment Form (with rates)

Plan Info Downloads

• Access Plan Fees for Members

• Access Plan Information

• CAPDENT Individual / Group Plan Description

• Davis Vision Brochure (Embedded with certain Dental products)

• Group / Individual Select Plan Information

• Group Omni Plan Description

CAI • 180 East Main Street • Suite 205 • Patchogue, NY 11772
All health plan, insurance coverage information, or otherwise is subject to carrier approval and/or NYSID approval.
For complete coverage information, always refer to the certificate of insurance. Neither Conference Associates, Inc. (CAI)/ELITE Programs Inc. (ELITE), nor its web administrators may be held liable for typographical errors.