Blue Cross and Blue Shield of IL
Small Group
BCBSIL Enrollment Forms for Small Group
2026 Benefit Program Application – BPA (for effective dates of 1.1.2026 and later)
2026 Benefit Plan Selection – BPS (for effective dates of 1.1.2026 and later)
Employer Group Information- EGI
Employee Application Enrolling
OR you can use Enrollment Spreadsheet- Please contact your Broker Service Specialist at MIBS for a copy