Forms

• 2017 Employer Health Insurance Product Guide

• Census Template for Online Quoting

• How to Obtain a More Accurate Quote for Size 2 to 99 Groups

• Census

• Request For Proposal

• Sales Compensation Information

• BluePreferred Dental Brochure

• BluePreferred Eyewear Flier

• Satisfaction Survey Results

• New Group Checklist

• Sole Proprietor Partner Corporate Officer Statement

• Common Ownership Form

• Welcome Guide for New Members

• Domestic Partner Affidavit

• Employer Application

• Employee Application

• Group Certification Document

• Medical Claim Form

• Dental Claim Form

• Welcome Guide for New Members

• Why is BCBSAZ Asking Group Size Questions

• COBRA Application

• Employer Application

• Employee Application

• BCBSAZ Confidential Information Release for HIV Related Information

• BCBSAZ Confidential Information Release for HIV Related Information in Spanish

• Catamaran Pharmacy Confidential Information Release Form

• BCBSAZ Confidential Information Release

• BCBSAZ Confidential Information Release in Spanish

• Notice of Privacy Practices