Understanding the Role of The Group Benefits Administrator

To enable your group to use the electronic enrollment services, your group needs to designate a Group Benefits Administrator (GBA). The GBA will be the person who has total control and authority to enroll, add and/or delete employees for coverage with Blue Cross Blue Shield of Arizona. Therefore, before proceeding and accepting, the GBA should read the following information carefully.
[*] Indicates Required Field
I Accept
* 1) As the person who is designated as the Group Benefits Administrator, I have complete control over the electronic administration of my company’s group health plan and the authority to enroll employees, approve employee enrollment elections/changes and terminate employee and dependent coverage.
I Accept
* 2) As the Group Benefits Administrator, I will have the ability to assign and control the features, information and reporting which various users will be able to access from any Internet connection. I will exercise that ability in a manner consistent with applicable law. Blue Cross Blue Shield of Arizona (BCBSAZ) is not responsible for any inappropriate access to content resulting from my assignment or control of access to features, information or reporting available through this service.
I Accept
* 3) I will ensure that all employees eligible for the group health plan receive notices required under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), including but not limited to, Notice of Special Enrollment Rights and a general notice of any applicable Preexisting Condition Waiting Period. These notices are included with BCBSAZ’s written enrollment materials for employees and its electronic employee application.
I Accept
* 4) When I cease acting as my employer’s Group Benefits Administrator, it is my responsibility to provide my employer with the account login and password for this service. It is the responsibility of my employer to change my account login and password to prevent unauthorized access to this service.
I Accept
* 5) These terms of use are in addition to the Terms and Conditions which govern all of Blue Cross Blue Shield of Arizona’s on-line services.
If you do not accept/understand the role of the Group Benefits Administrator, or you have reached this page by mistake, please click the “I do not accept” button, and you will be returned to the azblue.com homepage.

WE’RE SORRY

You have chosen to decline the Terms and Conditions outlined by Blue Cross Blue Shield of Arizona. As such, you will be unable to begin the group registration process. If you would like to return to the Group Benefits Administrator information page Click Here. Located at the bottom of the Group Benefits Administrator information page you will find a product demonstration section. This will give you a brief description of the Group Benefits Administrator Web Services and take you through an example registration process.
Group Benefits Administrator Web Services

Group Benefits Administrator Registration

Step 1 of 3
The registration process consists of three steps. In order to register for the services offered, you must complete all three steps. If you do not, your information will be lost and you will have to go through the process again.
Group Benefits Administrator Profile
Please enter the following information about the person who will be acting as the Group Benefits Administrator for your company/organization. The Group Benefits Administrator will have the option of assigning administrative rights to other members of your group later in the registration process.
[*] Indicates Required Field

Login Information
Please choose a Login ID and Password for the Group Benefits Administrator. Keep a record of this Login ID and Password in a secure place. The Group Benefits Administrator must enter it every time they access the account.
Please select a unique login ID. Your login ID must be 6 to 25 characters in length and may consist of both numbers and letters. No punctuation characters or spaces.
Security Question
* We require an additional security question to reference, in case the Group Benefits Administrator forgets their password.
Terms and Conditions

The following Terms and Conditions govern your use of the Blue Cross Blue Shield of Arizona (BCBSAZ) on-line services (the Service), whether you accessed the Service through www.azblue.com or a broker's website. Separate terms and conditions may apply to the broker's website. Please read BCBSAZ’s Terms and Conditions carefully so you fully understand your rights and responsibilities, and the limitations applicable to your use of this site. If you access, use or view any information, database, application, or tool available on this site, you agree to be bound by these terms and conditions of use.

Information Collected
We may collect information from you such as name, gender, address, phone number, fax number, e-mail address, member number, group number, provider number, broker number, date of birth, Social Security Number, health plan and primary care physician and/or any other information we need to verify who you are or to determine what information may be made available to you.

MyBlue uses non-persistent cookies. Non-persistent cookies serve technical purposes like providing seamless navigation through the MyBlue Web site. These are not written to your hard drive by your MyBlue session, although they may be written to "virtual memory" or "swap space" on your hard drive depending on the configuration and the operating system of your computer. MyBlue non-persistent cookies are intended to be stored temporarily in your computer's memory and are used by MyBlue during active browser sessions.

Access to Information
You will not allow any other person or user to have access to the information contained in the Service unless the person's access is consistent with applicable state and federal laws, and these Terms and Conditions. You will not allow any other person or user to have access to the Service without BCBSAZ's consent. All passwords used to access the Service must be kept confidential. If you believe that a password has become known to someone else, contact Technical Support at (602) 864-4844 or (800) 650-5656 to report the issue and obtain a new password.

Health and Wellness Information
You may access certain health care and wellness information through the Service. This information is provided strictly for your general knowledge and should not be relied upon as medical advice. Please consult your physician for specific answers to questions concerning medical advice or treatment options appropriate for your specific needs.

E-Mail
Please be aware that e-mail may be viewed by other Internet users while in transit to us. Please do not use e-mail to communicate with us regarding confidential matters. Communications to us via the Message Center available on the Service will be secured with 128-bit encryption and the information communicated will not leave our private network.

Security
This site has security measures in place to protect against the loss, misuse and alteration of the information transmitted on the Service. Although BCBSAZ has security measures in place, we cannot guarantee that unauthorized users will not gain unauthorized access to your information or otherwise misuse the system. You assume all risks associated with using this Service and release BCBSAZ from any claim, liability and/or damages, as a result of your use of the Service.

Links
As you navigate the Service you may be able to link to other Web sites. These links are provided for your convenience. BCBSAZ does not endorse any product or service which may be available through any Web site accessed by such links and disclaims any and all liability for any loss or injury caused by such product or service. Such Web sites are not under BCBSAZ's control and BCBSAZ is not responsible for the contents, security or privacy practices of any linked site.

Copyright
All of the data contained in this website is the property of BCBSAZ and is protected by copyright and other applicable laws. The data is provided solely for the personal, non-commercial use of current and prospective BCBSAZ members and providers, and authorized brokers. You may print a single copy of the information contained on the Service so long as you use it only for personal, non-commercial use, do not modify it and retain all copyright and other proprietary notices contained in it. Otherwise, you may not copy or distribute the information available on the Service without BCBSAZ's prior written consent.

Current members may have the opportunity to choose to receive certain documents via paperless delivery methods. Any member who makes such an election is bound by the specific terms of that election. Members who elect paperless delivery may have the right to make additional copies of the documentation delivered via paperless delivery.

Use of any robot, spider, or other intelligence-gathering agent to copy content from this website, extract any data from this website, or otherwise subject the website to unwarranted high access or transaction activity is strictly prohibited.

The Blue Cross® and Blue Shield® trademarks and tradenames are the property of the Blue Cross Blue Shield Association. BCBSAZ is an independent authorized licensee of the Association. Healthy Blue is an authorized service mark of BCBSAZ. Nothing on this website grants you any right or license to use any of these tradenames, trademarks, or service marks.

Modifications
BCBSAZ may change these Terms and Conditions from time to time by posting a modified copy of these Terms and Conditions at the Service or by otherwise notifying you through mail or email. These changes will be effective and binding as of posting of the modified copy, unless a different effective date is specified.

Cancellation
BCBSAZ may terminate the Service or cancel your membership in the Service at any time. In such cases, BCBSAZ will notify you within a reasonable period by posting a message at the Service through the email address you provided to us or contacting you through the telephone number, or mailing address you provided to us. You may terminate your membership in the Service by using our online profile maintenance process or by contacting Technical Support at (602) 864-4844 or (800) 650-5656.

Indemnification
You agree to indemnify, defend and hold harmless BCBSAZ, its officers, directors, employees, agents, licensors, suppliers and any third party information providers to the Service from and against all losses, expenses, damages and costs, including reasonable attorneys' fees, resulting from your use of the Service, the use of the Service by another person accessing your account, or your violation of these Terms and Conditions.

Disclaimers of Warranty and Liability
INFORMATION ON THIS WEB SITE IS PROVIDED ‘AS IS”. BCBSAZ EXPRESSLY DISCLAIMS ANY WARRANTIES CONCERNING THE SECURITY, RELIABILITY, TIMELINESS AND PERFORMANCE OF THE SERVICE. BCBSAZ SHALL NOT BE LIABLE FOR ANY SPECIAL, INDIRECT, INCIDENTAL, PUNITIVE OR CONSEQUENTIAL DAMAGES, INCLUDING WITHOUT LIMITATION, LOST REVENUES OR LOST PROFITS, WHICH MAY RESULT FROM THE USE OF THE SERVICE OR THE MATERIALS FOUND ON THE SERVICE. BCBSAZ DISCLAIMS RESPONSIBILITY FOR ANY HARM RESULTING FROM DOWNLOADING OR ACCESSING ANY INFORMATION OR MATERIALS THROUGH THE SERVICE, INCLUDING WITHOUT LIMITATION, HARM CAUSED BY VIRUSES OR SIMILAR DESTRUCTIVE PROPERTIES. ALL EXPRESS, IMPLIED AND STATUTORY WARRANTIES, INCLUDING WITHOUT LIMITATION, THE WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR NON-INFRINGEMENT, ARE EXPRESSLY DISCLAIMED TO THE FULLEST EXTENT PERMITTED BY LAW.

If any provision of these Terms and Conditions is determined to be invalid, all other provisions will remain in full force and effect. These Terms and Conditions shall be interpreted and enforced according to the laws of the State of Arizona.

I have read and I agree to the Online Services Terms of Use as outlined above.
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Organization Online Registration

Step 2 of 3
Organization Information
Please enter the following information about your organization.
[*] Indicates Required Field
e.g. 123456
Organization Address and Phone Number

Internet Options

Step 3 of 3
Enter your choices for the following administrative options. Review these selections carefully, as they will control some important features of your account.
Internet Access Options
Below you may choose whether or not you would like to allow employees to complete application changes online (i.e. enrolling for coverage, adding and removing dependents, and changing benefit selections).
Automated Approval Process
Automated Review Process requires all application changes made online to be reviewed by the GBA or other Office User for Approval, Denial, or to be placed on Hold. By Default this option is set to “Yes” (please read description below) and can be changed only by the primary GBA (named in this application) through the secure portal. To make changes to this option, go to the Office Setup in the secure portal and make the desired change.
Require GBA review of all Application Changes made Online by Employees.
Yes
What “Yes” means
The GBA will be required to review each application change made online by employees. These changes will only be released to BCBSAZ form processing after they are approved.
No
What “No” means
Employees have the ability to submit application changes they made online directly to BCBSAZ. The GBA will NOT review these application changes before they are sent to BCBSAZ for processing.
Please select the options you wish to provide to your employees.
Allow Employees to Make Application Changes Online
Yes
No



Thank You

Thank you for registering with Blue Cross Blue Shield of Arizona.
Your application is being reviewed and processed for authenticity within our system.
You will receive confirmation and follow-up instructions from a Blue Cross Blue Shield of Arizona representative within two business days.
You will have the ability to assign Office User rights when you log into the system and set them up.