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
Office of Pool Administration
Excellus BlueCross BlueShield, Central New York Region
P.O. Box 4757
Syracuse, New York 13221-4757

or

FAX: (315) 448-6786

or

E-mail: assistance@hcrapools.org

or

Phone: (315) 671-3800