Group Materials
For Your Business
Forms and Resources
- Active&Fit Direct Flier
- Benefit Administrator’s Guide( IL)
- Student Extended Network Program Flier
- HIPAA Authorization Form
- HIPAA Authorization Form (En español)
- Key Things to Know and Do
- Online Premium Bill Pay Flier (IL, IN members)
- Self-Funded BenefitFocus Flier
- Small Group Vision Buy Up
- Small Group EHB Vision/Dental Private Flier
- IA Small Group EHB Vision/Dental Private Flier
- Treatment Cost Calculator Flier
- Why Choose a Self-Funded Plan?
- Hally Virtual Visit Member Flier
- Get Well, Stay Well Flier
- Hally Helping You Be Your Best Member/Employer Flier
Medicare Materials
Applications
Small Group
- 2025 Illinois and Indiana – Small Group Employer Application
- 2025 Illinois and Indiana – Small Group Employee Application
- 2025 Simplete – Small Group Employer Application
- 2025 Simplete – Small Group Employee Application
- 2025 Iowa – Small Group Employer Application
- 2025 Iowa – Small Group Employee Application