Downloadable Forms

For your convenience, we have developed a downloadable insurance forms section. Please feel free to check back here for frequent form updates.

Health Republic Message about 11/1 and 12/1 Renewals

Story Content Provided by Health Republic on 10/9/15

The Department of Financial Services (DFS) has notified Health Republic that we cannot renew small group policies with November 1 and December 1 renewal dates. This means that those groups' current health insurance policy with Health Republic will not renew and will end at midnight the day before those groups' scheduled renewal date (i.e. midnight on 10/31 for 11/1 renewal). In order for the group to have coverage after that date, and to avoid gaps in coverage, the group must choose a new policy from another insurer.

An official non-renewal notice will be sent to the group administrators of the affected groups. Click here to preview both the November and December letters.

We will continue to provide you with additional information as it becomes available. Thank you for your continued patience and understanding.

William M. Friedman
Senior Vice President of Commercial Sales
Health Republic Insurance of New York