Please Help Us Update Our Records

As we look increasingly to electronic media where appropriate to streamline our communications with you, we would like to be certain that we have the most current and accurate information in our system.  Would you please take a few minutes to complete the information below.  Please be assured that this information will be used only for HNE business purposes.

To submit this information on-line, fill in the information below, then click SUBMIT when finished.  Or, if you would prefer, you may print this page and fax the completed form to 413-736-1850.

Please be sure to complete all fields. For "Contact Name," indicate the individual to whom HNE should send information about benefits, products and plan procedures.

Contact Name :
Company Name :
Street Address:
City:
State:
Zip:
Phone #:
FAX #:
E-mail :

Thank you for your time!

Did you know that through HNEDirect, employer groups can review an employee’s HNE membership eligibility or enter enrollment activity for individual employees – including initiating, changing, reinstating, or terminating HNE enrollment. You can also request HNE member ID cards using HNE Direct.

For more information, or to create your account and get started, click HNEDirect on the menu to the left of your screen.

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