Forms and Resources
January 2027 Employer Health Insurance Product Guide Balanced Funding | |
January 2027 Employer Health Insurance Product Guide Groups Size 51 or more | |
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 | Download (pdf) |
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 | Download (pdf) |
January 2025 Employer Health Insurance Product Guide Balanced Funding | Download (pdf) |
2024 Employer Health Insurance Product Guide Groups Size 2 to 50 | Download (pdf) |
April 2024 Employer Health Insurance Product Guide Groups Size 51 or More | Download (pdf) |
April 2024 Employer Health Insurance Product Guide Balanced Funding | Download (pdf) |
Census for Groups Size 2 Plus | |
2026 Enrollment Census | |
ACH Payment Form | |
New Group Checklist | |
Sole Proprietor Partner or 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 | |
BlueDental Prevention Plus1 Submission Form | |
COBRA Application | |
Employer Application | |
Employee Application | |
Employee Application Spanish |
Instructional PDF for Machine Readable Files | |
Mental Health Parity Disclosure Request Form |
Your Rights and Protections Against Surprise Medical Bills | |
Your Rights and Protections Against Surprise Medical Bills in Spanish |
Notice of Privacy Practices |
How to Get Care or Prescriptions Without Your ID Card | |
5 Ways to Access Your Benefits |