New Hampshire Document Library

New Hampshire New Group Documents		New Hampshire HealthFirst
Group Checklist (PDF) NH Small Group Employer Application (PDF) Underwriting Questionnaire (PDF) Census Form (PDF) NH Member Enrollment Application (PDF) Waiver (PDF) HIPAA Privacy Election Form with Instructions (PDF)		HealthFirst Benefit Summary (PDF) HealthFirst Employer Application (PDF) HealthFirst Employee Enrollment Form (PDF) HealthFirst Wellness Plan Information (PDF) HealthFirst Standard Wellness Form (PDF)
Benefit Summaries for New and Renewing Business October 2009		Miscellaneous Forms
HSA qualified CDHP Option 2 (PDF) HMO Open Access Option 9 (PDF) New Hampshire HealthFirst (PDF)		CAF 1 (PDF) CAF 4 (PDF) Notice of Membership Adjustment (PDF) Supply Request Form (PDF) NH Late Paperwork form (PDF) NH Administratitve Manual, VOL 6 (PDF)
Accessing Providers and Facilities Online
OAP Online Directory (PDF) HMO-HMOOA Online Directory (PDF)