New York State Health Care Reform Act (HCRA)
All of the HCRA forms posted on this WEB site are also available in hardcopy. This includes the election application
forms, direct pool payor reporting forms, and all provider forms. Other than as posted on this WEB site, the forms
are only available in hardcopy. They are
Mr. Jerome Alaimo, Pool Administrator or FAX: (315) 448-6786 or E-mail: assistance@hcrapools.org or Phone: (315) 671-3800
Office of Pool Administration
Excellus BlueCross BlueShield, Central New York Region
P.O. Box 4757
Syracuse, New York 13221-4757