Producer Communications Doing Business with CIGNA HealthCare Administration Contacts for Brokers & Consultants

Connecticut Document Library Connecticut New Group Documents   Connecticut Benefit Summaries for HSA-Qualified HDHPs CT New Group Submission Checklist (PDF) CT Small Group Employer Application (PDF) Underwriting Questionnaire (PDF) Census Listing (PDF) CT Member Enrollment Application (PDF) CT Family Health Statement (PDF) Waiver (PDF)   Quick Reference Guide to HDHP Plans (PDF) High Deductible Health Plan (HDHP) 1: 90% / 2000 (PDF) High Deductible Health Plan (HDHP) 2: 90% / 2500 (PDF) High Deductible Health Plan (HDHP) 3: 90% / 3000 (PDF) High Deductible Health Plan (HDHP) 4: 100% / 3000 (PDF) Miscellaneous Forms   Connecticut Benefit Summaries for HMO,POS & OAP Plans HIPAA Privacy Election Form with Instructions (PDF) CAF 1 (PDF) CAF 4 (PDF) CT Late Paperwork Form (PDF) Request Form for Online Enrollment Tool (CIGNAAccess.com) (PDF)   HMO B (PDF) POS D (PDF) OAP A (PDF) State Mandated HMO F (PDF) State Mandated Indemnity A (PDF)