Marshall and Sterling

Insurance Forms

Marshall & Sterling Insurance is pleased to provide important forms from many of the major health carriers with which we work. You can download enrollment and claim forms for the carriers listed below. This "one-stop" service provides access to these forms in one convenient location. We encourage you to visit this section as we expand the available forms.

Please note that Adobe Acrobat is required to view documents.

Medical Coverage Forms
Medical Enrollment Form 2-50 Medical Enrollment Form 51+ NY Small Group Employer Application Proof of Eligibility Form Student Questionnaire	Medical Enrollment Form Student Verification Form
Medical Enrollment Form Medical Claim Form	Medical Enrollment Form Medical Claim Form Student Coverage Questionnaire
Medical Enrollment Form - PPO Medical Enrollment Form - HMO Medical Claim Form	Medical Enrollment Form-Charter EPO Medical Enrollment Form-Outlook EPO Medical Enrollment Form-Outlook POS Change-Cancellation Form
Medical Enrollment Form Medical Claim Form	Medical Enrollment Form Medical Claim Form
Medical Enrollment Form Medical Claim Form (Excel format) Student Waiver Form	Medical Enrollment Form-Metro Medical Enrollment Form-Standard Medical Claim Form Student Verification Parent Affidavit Form Additon Termination Change Form
Medical Enrollment Form HSA Account Enrollment Form HSA Check Card Enrollment Form	Medical Enrollment Form Medical Claim Form
Dental Coverage Forms
Dental Enrollment Form Dental Claim Form	Dental Enrollment Form Dental Claim Form Voluntary PPO DMO Dental Enrollment Form
Dental Enrollment Form Dental Claim Form	Dental/Vision Enrollment Form Dental Claim Form
Dental Enrollment Form Dental Claim Form	Dental Enrollment Form Dental Claim Form