BCBS Group - Midwest Insurance Brokerage Services Inc

BCBS Groupadmin2026-02-10T14:48:19-06:00

Blue Cross and Blue Shield of IL Group Health

Group Product Resource Link

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Answer the following questions to determine if your group is eligible.

Step 1 of 4

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Todays Date*
MM slash DD slash YYYY
Requested Effective Date*
MM slash DD slash YYYY
Business Information (REQUIRED)
Business Name*
Partnership*
- Yes
- No
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Business County*
Business Phone Number*
Average Number of (Non-Owner) W2 Employees in Prior Calendar*
*do not count owners as employees
Total Number of Full-time Eligibe Employees*
(include ALL FT/PT/Union/Seasonal)
Total Number of Enrolling Employees*
Business Startup Date*
MM slash DD slash YYYY
Nature of Business or SIC Code*

Forms & Documents

Quoting Spreadsheet

Online Quoting Page

RFP (For BCBS Stage 2 Quote)

2026 Small Group Product Portfolio

Mid-Market 51+ Group Portfolio eff 7.1.2025

Small Group Enrollment Forms

Mid-Market 51+ Enrollment Forms

Producer of Record Transfer Form

Sample Cobra Notice (Election)

Sample IL State Continuation Notice

Participating Provider Organization = PPO

Blue Choice Preferred = BCE

Blue Precison HMO=PSN

Blue Choice Options=OPT

2026 Blue Balance Funded Product Portfolio Small Group & Mid-Market (Plan IDs that end in “M” are only available for Mid-Market Groups. Plan IDs that don’t end in “M” are available to Small Group & Mid-Market Groups)

Producer Blue Balance Funded 2026 Offers Flyer

Employer Blue Balance Funded 2026 Offer Flyer

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