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  About MVP (PDF)
Eligibility guidelines (PDF)
Enrollment checklist, 2+ employees (PDF)
Enrollment checklist, sole proprietorship (PDF)
Small group application (PDF)
Enrollment change form (PDF)
   
  Insurance rates by region
 
  Central one—Lewis, Herkimer, Oneida, Madison, Otsego, Delaware and Ulster counties
     2+ employees (PDF) | Sole proprietorship (PDF)

Central two—Cayuga, Jefferson, Onondaga and Oswego counties
     2+ employees (PDF) | Sole proprietorship (PDF)

Central three—Schuyler, Tompkins, Cortland, Chenango, Chemung, Tioga and Broome counties
     2+ employees (PDF) | Sole proprietorship (PDF)

East—Hamilton, Warren, Washington, Fulton, Saratoga, Montgomery, Schenectady, Rensselaer, Albany, Schoharie, Greene and Columbia counties
     2+ employees (PDF) | Sole proprietorship (PDF)

Long Island—Nassau and Suffolk counties
     2+ employees (PDF) | Sole proprietorship (PDF)

Mid-Hudson—Sullivan, Orange, Dutchess and Putman counties
     2+ employees (PDF) | Sole proprietorship (PDF)

New York City—Bronx, Kings, New York, Queens and Richmond counties
     2+ employees (PDF) | Sole proprietorship (PDF)

New York Metro—Rockland and Westchester counties
     2+ employees (PDF) | Sole proprietorship (PDF)

North—St. Lawrence, Franklin, Clinton and Essex counties
     2+ employees (PDF) | Sole proprietorship (PDF)

Rochester—Genesee, Livingston, Monroe, Ontario, Orleans, Seneca, Steuben, Wayne, Wyoming and Yates counties
     2+ employees (PDF) | Sole proprietorship (PDF)

West—Allegany, Cattaraugus, Chautauqua, Erie and Niagara counties
     2+ employees (PDF) | Sole proprietorship (PDF)

   
  For further information and to enroll:
 
  PIA Management Services Inc.
25 Chamberlain St • PO Box 997 • Glenmont, NY 12077-0997
Phone: (800) 424-4244 • Fax: (888) 225-6935 • E-mail memberservices@pia.org

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