Blue Cross and Blue Shield of IL Group Enrollment 2-50 Group Size

Group Product Resource Link

DocumentDownloadYear
2023 BPA Small Group – For Groups Effective 1.1.23 Download2023
2023 BPS Small Group - For Groups Effective 1.1.23 Download2023
2023 Small Group Product Overview Download2023
Small Group New Business Checklist (ACA) Download2022
Sample UI-3/40 Download
2018
Employer Group Information Forms Download2016
Affiliate Form Download
Full Time Owners/Partners Certification Form Download

DocumentDownloadYear
Employee Application Enrolling and/or Waiving Download2021
Enrollment Change Request Form Download2018

Other Resources

Important Documents

  • Employee Application

  • Employee Application 51+

  • Group Claim Form

  • Renewal Checklist

    • Commission Schedules

  • Commission Schedules