2018 Group Administrative Manual Pdf - Online
2018 Group Administrative Manual PdfOnline

Blue Cross Small Group Administration, Renewal & Wellness Tools

Employer Portal
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Easy Renew your Group Coverage

We are in the process of updating this page for 2019.  Just email us, if you need something.  [email protected]

Group Administrator Manual

Employer Application

Employer Application – fillable

SG Attestation Form

Attestation Determining Group Size

Guaranteed Association Attestation Form

Eligibility Statement

Conditions of Enrollment/Start-Ups/PEO

Information Change Form

Electronic Debit Payment Form

Authorization Request by Phone for Electronic Check/ACH

Reinstatement Electronic Debit Payment Form

Life Conversion Form

Live Health Online Quick Start Guide

Live Health Online Video

Live Health Online Demo

Religious Employer Self-Certification Form

Blue Cross Contact Information

[email protected]


Documents/Forms for employees

Here’s convenient access to the forms and other materials employees will need to make any changes to their plan(s). You’ll find the most essential documents and forms below, many of them conveniently translated into a variety of languages. Whether you need employee applications, change forms or claim forms, this is your one-stop location.

Plan information

Here you’ll find a wealth of information to help you with renewal decisions. Simply select a link below to dive into rate guides, drug lists, benefit summaries and comparisons, and of course, details on the various plans we offer.

Summary of Benefits and Coverages (SBC)


Benefit Summaries (for plans effective January 1, 2018)


The 2017 Small Group Guide, along with other helpful 2017 materials, can be found on Easy Renew.

Plan Comparison Tool – Prior to ACA Compliant

Blue Cross Small Group Customer Service (800) 627-8797.

Other Customer Service Contact Info

Website Tech Support  888.268.4361

EOC Gold Select HMO



More * Renewal Siteforms on Blue Cross Website


Off Anniversary Changes

Main Blue Cross & Related Pages

Network PPO HMO Definitions

2017 Forms  – Underwriting – Check List – Etc

Wellness & Preventative Care Tools

Making Health Reform Work.com – View Plan Options

Find a Doctor, Hospital and other Providers

MORE INFORMATION on Provider Network, Names & how to select & find a provider.


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