Forms

January 2027 Employer Health Insurance Product Guide Groups Size 51 or more

January 2027 Employer Health Insurance Product Guide Balanced Funding

2027 Employer Health Insurance Product Guide Groups Size 2 to 50

July 2026 Employer Health Insurance Product Guide Groups Size 51 or more

July 2026 Employer Health Insurance Product Guide Balanced Funding

April 2026 Employer Health Insurance Product Guide Groups Size 51 or more

April 2026 Employer Health Insurance Product Guide Balanced Funding

January 2026 Employer Health Insurance Product Guide Groups Size 2 to 50

January 2026 Employer Health Insurance Product Guide Groups Size 51 or more

January 2026 Employer Health Insurance Product Guide Balanced Funding

2025 Employer Health Insurance Product Guide Group Size 2 to 50

April 2025 Employer Health Insurance Product Guide Groups Size 51 or More

Download (pdf)

April 2025 Employer Health Insurance Product Guide Balanced Funding

Download (pdf)

January 2025 Employer Health Insurance Product Guide Groups Size 51 or More

January 2025 Employer Health Insurance Product Guide Balanced Funding

2024 Employer Health Insurance Product Guide Groups Size 2 to 50

April 2024 Employer Health Insurance Product Guide Groups Size 51 or More

April 2024 Employer Health Insurance Product Guide Balanced Funding

Census for Groups Size 2 Plus

Census Template for Online Quoting

Census Template Full for Online Quoting

2026 Enrollment Census

ACH Payment Form

New Group Checklist

Sole Proprietor Partner Corporate Officer Statement

Common Ownership Form

New Member Benefit Access Overview

Domestic Partner Affidavit

Employer Application

Employee Application

Employee Application Spanish

Group Certification Document

Medical Claim Form

Dental Claim Form

Why is BCBSAZ Asking Group Size Questions

COBRA Application

Employer Application

Employee Application

Employee Application Spanish

Instructional PDF for Machine Readable Files

BCBSAZ Machine Readable Files

American Specialty Health Machine Readable Files

Davis Vision Machine Readable Files

Confidential Information Release for HIV Form

English
Spanish

Pharmacy Confidential Information Release Form

Confidential Information Release Form

English
Spanish

Notice of Privacy Practices

How to Get Care or Prescriptions Without Your ID Card

5 Ways to Access Your Benefits