- + Small Business
- + Large Business
- Membership At A Glance
- Domestic Partner Eligibility
- Employee Enrollment
- Enrollment Basics
- Enrollment FAQ's
- Open Enrollment
- Probationary Periods
- + Special Enrollments
- Adding A Dependent
- Coverage Updates
- Membership Cancellation Instructions
- Membership Change Instructions
- MRC Widget GuideLines
- Employee Benefits
- + Newsletters
Group Benefits Manager's Manual Comprehensive guidance for handling Group-level changes.
|Average Employee Count Calculation||Medical Loss Ratio employee count.|
Used for employee updates to enrollment
Note: Application forms must be accompanied by a copy of the Summary of Benefits and Coverage (SBC) when provided to an employee enrolling in an employer group plan that has renewed on or after October 1, 2012.
BlueCare Access Enrollment/Change Form
BlueCare Access Enrollment form for subscribers.
Note: Use this form only if you have BlueCare Access coverage.
Continuity of Care
||To be used for transitioning members who are being treated for a life threatening/disabling or degenerative condition, are in their 2nd or 3rd trimester of pregnancy, have an upcoming surgery OR are on a medication that the previous insurer has given prior approval for.|
|Online Group Enrollment Form||Used for new enrollment/hires only.|
||Request for coverage, and medical certification|
|Domestic Partner Coverage|
Group Membership Update
MSP Step-by-Step Guide for Small Group E...
||Step-by-step guidance on how to apply for a small employer exception from Medicare coordination of benefits contractor.|
Small Group Certification
||Small Employer Qualification|
Small Group Certification: New Group
||Small Employer Qualification for new groups|
Small Group Certification: Requalificati...
||Small Employer Qualification for requalifications|
Small Group Certification: Transfer
||Small Employer Qualification for transfers|
|Waiver of Group Health Insurance||Used by spouses or partners to opt out of BCBSVT coverage|
|Credibility Analysis||Important notice concerning prescription drug coverage|
|Creditable Coverage Simplified Determina...||Important notice concerning prescription drug coverage|
|Creditable Notice (Word Doc)||Important notice concerning prescription drug coverage|
|Non-Creditable Notice (Word Doc)||Important notice concerning prescription drug coverage|
|CMS Creditable Coverage Guidance||Important notice concerning prescription drug coverage|
|Group Subscriber Medicare Supplement App...||Form for a group subscriber's changes|