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Employer Forms
Forms and Resources – Access employer forms, contact information and resources you'll find helpful.
Dependent Re-Enrollment Form For Employer Sponsored Coverage
Employee Enrollment/Change Form
Employer Census Certification Form
Small Group Proposal Request Form
Group Contract - Standard Terms & Conditions
Group Contract Acceptance Form
Small Group Rate Disclosure Notification
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(888) 873-8044
New West has over 4,600 providers in our network.
Medicare beneficiaries may enroll in New West Medicare PPO or New West Medicare Enhanced PPO through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at http://www.medicare.gov
or
Choose a plan below. Enter your zip code and click the “Submit” button. For more information contact New West Health Services. Please call:
(888) 873-8049
or
(888) 290-3658 (TTY/TDD)