Online Enrollment Policy
(Adopted via Resolution No. 003-2018)
Required Documents: Municipal Determination of Subscriber Online Enrollment Commitment
Instructions for Enrollment Additions/Deletions/Changes:
Submit SF FAP form (from link below) and Dependent Eligibility Verification Form:
- By secure web portal http://lfweb.tompkins-co.org/Forms/TCHC (Benefit Clerks should contact the Consortium's Administrative Clerk for log-in instructions); or
- by fax: 607-274-5505; or
- by US Mail (an additional time lag built into this process) to the Greater Tompkins County Municipal Health Insurance Consortium, Attn: Enrollment, 125 East Court Street, Ithaca, New York 14850
Once the enrollment application is received by the Consortium, the enrollment data will be submitted online within three (3) business days. Confirmation of enrollment will be confirmed by the Consortium within 3 days of entering the change in the Excellus enrollment software. Should Excellus software not accept the enrollment submission, notice of incomplete information will be sent to the municipal partner within three (3) business days.
| Enrollment delegated to Consortium: (Forms linked to municipality) |
Municipalities responsible for enrollment: |
| Town of Aurelius | Seneca County |
| Town of Caroline | Tompkins County |
| Town of Cincinnatus | City of Cortland |
| Town of Danby | City of Ithaca |
| Town of Enfield | Town of Big Flats |
| Town of Homer | Town of Dryden |
| Town of Marathon | Town of Groton |
| Town of Mentz | Town of Ithaca |
| Town of Montezuma | Town of Lansing |
| Town of Moravia | Town of Ulysses |
| Town of Newfield | Village of Cayuga Heights |
| Town of Niles | ViIllage of Groton |
| Town of Owasco | Village of Trumansburg |
| Town of Preble | |
| Town of Scipio | |
| Town of Sennett | |
| Town of Springport | |
| Town of Truxton | |
| Town of Virgil | |
| Town of Willet | |
| Village of Dryden | |
| Village of Freeville | |
| Village of Homer | |
| Village of Horseheads | |
| Village of Lansing | |
| Village of Union Springs | |