855-693-0772

Forms

Aetna
Medical Enrollment Form – New Jersey
Dental Enrollment Form – New Jersey
Medical Enrollment Form – Pennsylvania
Dental Enrollment Form – Pennsylvania
Medical/Dental Enrollment Form- New York
Medical Enrollment Form- Delaware

AllState
Wellness Claim Form

AmeriHealth
Medical Enrollment Form

CareConnect
Medical Enrollment Form

Delta Dental
Enrollment Form – New Jersey
Enrollment Form – New York
Enrollment Form – Pennsylvania

Empire BlueCross Blueshield
Medical Enrollment Form

Guardian
Dental Enrollment Form

HighMark
Medical Enrollment Form

Horizon BCBS
Small Group Enrollment Form
Mid-market Enrollment Form

Independence BCBS
Medical Enrollment Form

MetLife
Enrollment Form – New Jersey
Enrollment Form – New York

Oxford
Medical Enrollment Form – New Jersey
Dental Enrollment Form – New Jersey
Medical Enrollment Form – New York

Qual Care
Enrollment Form

United Healthcare
Medical Enrollment Form- Pennsylvania
Medical Enrollment Form – Delaware
Dental Enrollment Form

USAble Life
Beneficiary Form

VSP
Enrollment Form

Resources

CENTER FOR MEDICARE AND MEDICAID SERVICES
MEDICARE
MEDICARE & YOU 2016

NJ FAMILY CARE
NJ MEDICAID
NJ DEPARTMENT OF BANKING AND INSURANCE
NJ SMALL GROUP BUYERS GUIDE
NJ DEPARTMENT OF LABOR
NJ PAID LEAVE INFORMATION

NY DEPARTMENT OF FINANCIAL SERVICES
PENNSYLVANIA INSURANCE DEPARTMENT

NJ PRESCRIPTION DRUG PRICE REGISTRY
NY PRESCRIPTION DRUG SEARCH

COBRA & STATE CONTINUATION
EMPLOYER GUIDE
EMPLOYEE GUIDE
MODEL ELECTION NOTICE
MODEL GENERAL NOTICE

NEW JERSEY
NEW YORK
PENNSYLVANIA

HSA-HRA-FSA

Signup to receive a FREE Report on “Strategies to Attract and Retain Employees”

What our Clients Say

RDA Benefits offers exemplary service. We have significantly benefited from their expertise which helped us secure a much better benefits package for our employees. They go above to help our employees with any questions, or issues they are having related to their plans. I highly recommend them and I can’t say enough good things about their work.

Michelle Wilson, Associate Director Elijah’s Promise