8685 Sheridan Drive, Williamsville, NY 14221
Phone: (716) 580-3773   |  Fax (716) 580-3778
info@sheridanbenefits.com

These informational links will provide you with all employer and member forms including blank applications, HIPAA, etc.

Online self-service 
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General FormHIPAA_Form.pdf
Univera Healthcarewww.univerahealthcare.comU_HIPAA_Form.pdfU_Active_Application.pdfU_ValUcare_App.pdf
Blue Cross Blue Shield of WNYwww.bcbswny.comBCBS_Employee_Application.pdf
Independent Healthwww.independenthealth.comInd_HIPAA_Form.pdfInd_iDirect_App.pdfInd_FlexFit_App.pdf
MVPwww.mvphealthcare.comEnrollment_Change_Form.pdfAuthroization_To_Disclose_Info.pdf
United Healthcarewww.myuhc.com 
HR 360www.hr360.com 
Colonialwww.coloniallife.comColonial_HIPAA_Form.pdfColonial_Claim_Form_and_Instructions.pdf
Colonial_Request_for_Service.pdf
Delta Dentalwww.deltadental.comDelta_Enrollment_and_Change_Form.pdf
Excellus Blue Crosswww.excellusbcbs.comExcellus_HIPAA_Form.pdfExcellus_SimplyBlue_Enrollment_Form.pdf
First Rehabwww.firstrehab.com 
Guardianwww.guardiananytime.comGuardian_HIPAA_Form.pdfGuardian_Enrollment_and_Change_Form.pdf
The Hartfordgroupbenefits.thehartford.com 
Lincoln Financialwww.lfg.com 
National Benefit Lifewww.nationalbenefitlife.com 
Met Lifewww.metlife.commet_app.pdf
Sun Lifewww.sunlife.com 
VSP Visionwww.vsp.com 
Unumservices.unum.com 
Key Bank Websitewww.key.com
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