new york state hospitality and Tourism Association
New Employer SetUp Form
HealthiestYou Complete Bundle (All Consults Included)
GROUP ADMINS: You can perform administrative functions for your group online with up to 2 people designated as administrators. Administrators have full access to add/change/terminate employees, view or modify non‐medical member data and view invoice status.
Invoices will be generated on the first of each month and sent electronically to the group administrator(s) listed above unless a separate billing contact is listed below.
Eligibility may be submitted via a one-time census spreadsheet file upload or can be manually entered into the Client Portal.
When choosing Client Portal, credentials and instructions will be provided to the Group Administrator listed on page 1.
When choosing One Time Census Spreadsheet (MFT), credentials and instructions will be provided to the Eligibility/IT Contact(s) provided in this section.
Additionally, certain eligibility may require an ongoing file transfer method (EDI feed). EDI feeds are typically established for groups with 50 employees or more that require frequent updates on a regular basis.
New groups that are submitted after the 1st of the month for the current month’s effective date must select and provide eligibility via One Time Census Spreadsheet (MFT) - (e.g. submitted on 12/5 for 12/1 effective date).
Instructions for client portal manual entry will be sent to this contact
Instructions for file transfer process will be sent to this contact
Instructions for EDI feed layout and transfer process will be sent to this contact
For Brokers Only- If you are a broker, please complete the following information
A confirmation email of this form will be sent to this contact.