Local 450A Empire BC Plans — Enrollment Application

Empire BlueCross (Anthem) Blue Access EPO · open access, no referrals · rates good through 10/31/2027

Step 1 of 7PlanApplicantEmploymentFamilyDoctorsPaymentReview & Submit

Your selectionPick your coverage tier below to see your monthly price and effective date.

Plan *

All four are Local 450A plans through AFI, insured by Empire BlueCross (Anthem) on the Blue Access EPO network.

Coverage tier (Monthly Rate) *

Rates include the 450A Health & Welfare Fund, union dues and association fees. A $95.00 annual administration fee applies at enrollment.

Requested Effective Date *Options honor the plan's 20th-of-the-month enrollment deadline.Previous Carrier

Questions about this application?

Fage Financial Services