Group Census Request Form Excel Format

Group Census Form PDF Format

Group Census Online Request Form Online

IBX 2019

IBC Group 2019-Blue-Solutions-Brochure

IBC BOR- 2018 CBP KT

IBC 2019-Employer App

IBC 2019-Employee App

BC Waiver Form 2019

BC Eligibility form 2019

BC 2019 Group Checklist

IBX 2018

2018 Blue Solutions- Group Plan Guide

IBX 2018 Employee Application for Blue Solutions (2-50)

IBX 2018 Group Application for Blue Solutions (2-50)

IBCBOREAF_2018

BC Eligibility form

BC 2018 Group Checklist

BC Waiver Form

IBC Small Underwriting Guidelines Final Draft 2017_Broker

 

IBX 2017

2017 Blue Solutions- Group Plan Guide                               

2017 Group Employer Application 

2017 Group Employee Application                            

2017 IBC Group Checklist

BC Waiver Form

 

Aetna                                                                                                         2018 non aca forms

 

United HealthCare

2018 UnitedHealthcare PA Small Group Portfolio_11 07 17_sortable (Print Ready)

Employer Participation & Floor Certification

PA – 2017 EE Application 2-50

PA – 2017 ER Application 1-50

See attached UHC group paperwork for 2018

 

UHC 2017_PA_Small_Business_Guide_(1-50)

 

Employer Resources

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