OBM - Elite vs Voluntary
Elite Plan: Groups enrolling in Contributory plans must have at least 75% of the active eligible employees enrolled, excluding those waived with spousal coverage (not to fall below 50% of all eligible employees).
Voluntary Plan: Groups enrolling in Voluntary plans must have at least 2 people enrolling to be eligible for coverage.
*For orthodontia, an employer group must have a minimum of 10 enrolling employees. Orthodontia benefits are for dependent children only up to the age of 18.
OBM Enrollment Request
- Fill up the Employer/Employee Form (see above)
- Lastest Tax Document (NYS 45)
- Copy of the Binder Check
Please mail the check to the following address:
PROFESSIONAL GROUP PLANS
225 Wireless Blvd, Suite 200
Hauppauge, NY 11788