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 customized form link below and Dependent Eligibility Verification Form if applicable:
- By secure web portal http://lfweb.tompkins-co.org/Forms/TCHC (Benefit Clerks should contact the Consortium for log-in instructions); or
- by fax: 607-273-5854; or
- by US Mail (an additional time lag built into this process) to:
Greater Tompkins County Municipal Health Insurance Consortium
Attn: Enrollment, P.O. Box 7, Ithaca, New York 14851
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.